| M & M Interventional Spine | |
|
91 Sammy Mcghee Blvd Ste 101 Jasper GA 30143-7704 | |
| (706) 253-3367 | |
| (706) 253-3361 |
| Full Name | M & M Interventional Spine |
|---|---|
| Speciality | Pain Medicine - Interventional Pain Medicine |
| Location | 91 Sammy Mcghee Blvd Ste 101, Jasper, Georgia |
| Authorized Official Name and Position | Sallu Jabati (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6785594526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M & M Interventional Spine 91 Sammy Mcghee Blvd Ste 101 Jasper GA 30143-7704 Ph: (706) 253-3367 | M & M Interventional Spine 91 Sammy Mcghee Blvd Ste 101 Jasper GA 30143-7704 Ph: (706) 253-3367 |
| NPI Number | 1205134673 |
|---|---|
| Provider Enumeration Date | 03/08/2011 |
| Last Update Date | 03/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205134673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 058527 (Georgia) | Primary |
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