Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Interventional Spine and Pain Management Ambulatory Surgical Center

Organization Ambulatory Surgical Clinic/Center · NPI 1750420147

Interventional Spine and Pain Management Ambulatory Surgical Center is an Ambulatory Surgical Clinic/Center in Conyers, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

1388 Wellbrook Cir NE Ste A
Conyers, GA 30012-3872
Phone: (770) 929-9033
Fax: (770) 929-9092
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X (GA)

Record details

NPI number1750420147
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victoria Beck — Cfo · (404) 920-4950
Other names Ispm Asc; Ispm Asc
NPI enumeratedFebruary 5, 2007
Last updated in NPPESFebruary 29, 2020
Certification dateFebruary 29, 2020
Mailing addressPo Box 11407 Dept 2344, Birmingham, AL 35246-3872

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