Advanced Spine & Pain Interventions Llc - Jasper

LBN: Advanced Spine & Pain Interventions Llc - Jasper
Advanced Spine & Pain Interventions Llc - Jasper is an health care organization with primary practice located at 49 Gordon Rd Suite 102, Jasper GA 30143-1017. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty. Advanced Spine & Pain Interventions Llc - Jasper can be contacted via phone (470) 299-1998, or through Mardy-Davis, Woodley via phone (470) 299-1998.

Contact Information

Primary practice address
49 Gordon Rd Suite 102 Jasper GA 30143-1017
Phone: (470) 299-1998
Fax: (470) 299-1898
Website:
Map and Directions
Authorized official contact:
Name: Mardy-Davis, Woodley Doctor of Medicine (MD)
Phone: (470) 299-1998

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X 059463 Georgia
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 059463 Georgia

Profile Details

NPI number 1992292973
LBN Legal business name Advanced Spine & Pain Interventions Llc - Jasper
DBA Doing business as
Authorized official Mardy-Davis, Woodley Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 16th, 2018
Last updated Apr 19th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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