Graduated: 2013
NPI: 1598100232
Practice Locations (2)
INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC
812 S PARK ST
CARROLLTON, GA 301174412
7709299033
INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC
1388 WELLBROOK NECIR A
CONYERS, GA 300123872
7709299033
Source: CMS National Downloadable File, September 2026.