Comprehensive Spine & Pain LLC

Organization Active NPI Pain Medicine Physician · Lithia Springs, GA

NPI 1861909533 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1861909533
Entity type
Organization (NPI type 2)
Primary specialty
Pain Medicine Physician 208VP0000X
Legal business name
COMPREHENSIVE SPINE & PAIN LLC
Practice address
939 Bob Arnold Blvd Ste G
Lithia Springs, GA 30122-3258
Phone
(770) 627-7246
Fax
(855) 332-9452
NPI assigned
Jan 4, 2018
Organization subpart
Yes
Parent organization (as reported)
COMPREHENSIVE SPINE & PAIN LLC

Authorized official

Name
Vinaya K. Puppala, MD
Title
MD
Phone
(770) 627-7246

National Provider Directory

Part of
Comprehensive Spine Pain LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208VP0000X Yes

Addresses

Primary practice location

939 Bob Arnold Blvd Ste G
Lithia Springs, GA 30122-3258

Mailing address

PO Box 20476
Belfast, ME 04915-4099
Phone (770) 627-7246

Other practice location 1

939 Bob Arnold Blvd Ste A
Lithia Springs, GA 30122-3258
Phone (770) 627-7246

Other providers in Lithia Springs, GA

All providers in Lithia Springs, GA · Pain Medicine Physician in Georgia

Sources for this page

Verify at the official NPI Registry.