PCA INTERVENTIONAL SPINE AT FAYETTE, LLC

Clinic/Center - Pain

Active Organization
NPI: 1447791074

Practice Address

1233 HIGHWAY 54 W
SUITE 205
Fayetteville, GA 30214

Phone: (404) 351-7654

Specialties

Specialty Code Primary License
Clinic/Center - Ambulatory Surgical 261QA1903X No IN PROCESS (GA)
Clinic/Center - Pain 261QP3300X Yes -

Frequently Asked Questions

NPI 1447791074 is the National Provider Identifier for PCA INTERVENTIONAL SPINE AT FAYETTE, LLC, a Clinic/Center - Pain provider located in Fayetteville, GA. This NPI was enumerated on March 15, 2017.

Quick Facts

NPI
1447791074
Type
Organization
Enumerated
Mar 15, 2017
Last Updated
Jan 21, 2025

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