LASER SPINE & PAIN CENTERS LLC


Address: 403 Permian Way Ste C, Villa Rica, GA 30180-3252
Phone: 7706277246

LASER SPINE & PAIN CENTERS LLC (NPI# 1346763190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346763190
Entity Type Organization
Organization Name LASER SPINE & PAIN CENTERS LLC
Practice Address 403 Permian Way Ste C
Villa Rica
GA 30180-3252
Practice Telephone 7706277246
Mailing Telephone 7706277246
Enumeration Date 2017-07-24
Last Update Date 2017-10-26
Authorized Official Name V.K. PUPPALA (OWNER)
Authorized Official Telephone 7706277246
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP3300X Clinic/Center
Specialization: Pain
Ambulatory Health Care Facilities

Office Location

Street Address 403 PERMIAN WAY STE C
City VILLA RICA
State GA
Zip Code 30180-3252

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376058990 Soma Anesthesia Services LLC Anesthesiology 403 Permian Way Ste C, Villa Rica, GA 30180-3226 2017-12-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174161624 Crucible Communication Therapy LLC Speech-Language Pathologist 9765 Walnut Grove Trail, Villa Rica, GA 30180 2019-12-16
1366802845 Medic-pearl, LLC Ambulance 1108 Charter Oak Ct, Villa Rica, GA 30180 2016-02-26
1396138368 Josette Etienne Nurse Practitioner 403 Permian Way Suite A, Villa Rica, GA 30180 2015-03-13
1447690516 Judith L.m. Thigpen Nurse Practitioner 736 Highway 78 West, Minute Clinic, Villa Rica, GA 30180 2013-07-03
1477890168 Wesley Douglas Mckenzie Pharmacist 2500 Mirror Lake Blvd, Villa Rica, GA 30180 2013-01-15
1497005359 Malika Remie Rajendra Optometrist 600 Hwy 61, Villa Rica, GA 30180 2012-09-18
1972876449 Catherine Elaine Tyson Pharmacist 601 Dallas Road, Villa Rica, GA 30180 2012-02-14
1619262433 Villa Rica Rx LLC Pharmacy 222 West Wilson Street, Villa Rica, GA 30180 2011-06-09
1851602874 Jules Chopin Sybert Nurse Practitioner 736 W. Bankhead Hwy, Villa Rica, GA 30180 2010-06-24
1487984019 Lisa Wood Occupational Therapy Assistant 1207 Woods Walk, Villa Rica, GA 30180 2010-01-04
Find all providers in zip 30180

Taxonomy Information

Taxonomy Code 261QP3300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Pain

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558970640 Fx Spine and Performance Center, LLC Clinic/Center 106 Srp Dr Ste B, Evans, GA 30809-4358 2020-07-24
1083253140 Intercare Medical, Corp Clinic/Center 3540 Wheeler Rd Ste 307, Augusta, GA 30909-1887 2020-01-06
1164828976 Atlanta Pain and Wellness Center PC Clinic/Center 1287 Ga Hwy 138 Spur Ste 8, Jonesboro, GA 30236-2419 2014-11-06
1790031664 Nr Medical Center, LLC Clinic/Center 213 Arrowhead Blvd, Suite D, Jonesboro, GA 30236-1168 2012-07-30
1740566181 Physical Medicine of Norcross Clinic/Center 6315 Spaulding Dr Ste B, Norcross, GA 30092-4653 2011-10-31
1407131899 Cambridge Labs,llc Clinic/Center 611 15th St, Augusta, GA 30901-2601 2011-10-17
1043537905 Primacare Pain & Rehab.,llc Clinic/Center 4467 Glenwood Rd, Suite 2, Decatur, GA 30032-5014 2010-04-30
1194994244 Ernie E Lin Clinic/Center 211 Pleasant Home Road, Suite F-3, Augusta, GA 30907-0559 2008-02-22
1235354218 Acworth Pain Management Center Inc Clinic/Center 5399 Bells Ferry Rd, Suite 180, Acworth, GA 30102-7546 2007-04-16
1487878856 Suwanee Pain Management Center Inc Clinic/Center 415 Peachtree Industrial Blvd, Suite 600, Suwanee, GA 30024-6710 2007-04-13
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Competitor

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City VILLA RICA
Zip Code 30180

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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