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Contact Information

AUGUSTA INTERVENTIONAL PAIN AND REHABILITATION
1355 INDEPENDENCE DR
AUGUSTA, GA30901-1037
 Phone: 419-508-4608
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for AUGUSTA INTERVENTIONAL PAIN AND REHABILITATION

NPI Number 1215201355
LBN Legal business name AUGUSTA INTERVENTIONAL PAIN AND REHABILITATION
Authorized official VENKATA LAKKIMSETTY - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2012
Last updated 03/07/2012 - About 14 years ago
Identifiers
GA License # 67138
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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