Comprehensive Pain and Spine Consultants of Georgia
Organization Active NPI Pain Medicine (Anesthesiology) Physician · Grayson, GA
NPI 1992387260 · NPPES record last updated Apr 27, 2022
Key facts
- NPI
- 1992387260
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- Legal business name
- COMPREHENSIVE PAIN AND SPINE CONSULTANTS OF GEORGIA
- Practice address
- 1531 Sienna Trace Dr
Grayson, GA 30017-2936 - Phone
- (509) 795-6014
- Fax
- (509) 357-8236
- NPI assigned
- Apr 26, 2021
- Organization subpart
- No
Authorized official
- Name
- Priscilla Agbenyefia, MD
- Title
- Owner
- Phone
- (404) 704-4174
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | Yes |
Addresses
Primary practice location
1531 Sienna Trace Dr
Grayson, GA 30017-2936
Mailing address
1531 Sienna Trace Dr
Grayson, GA 30017-2936
Phone (509) 795-6014
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All providers in Grayson, GA · Pain Medicine (Anesthesiology) Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.