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Contact Information

SJ & J SPINE AND PAIN GROUP HOLDING LLC
91 SAMMY MCGHEE BLVD, SUITE 101
JASPER, GA30143
 Phone: 706-253-3341
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for SJ & J SPINE AND PAIN GROUP HOLDING LLC

NPI Number 1871979641
LBN Legal business name SJ & J SPINE AND PAIN GROUP HOLDING LLC
Authorized official SALLU JABATI - (MD/MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/04/2015
Last updated 08/04/2015 - About 11 years ago
Identifiers
GA License # 058527
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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