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

Pavilion Spine Surgery Center LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1548459860

Pavilion Spine Surgery Center LLC is an Ambulatory Surgical Clinic/Center in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3193 Howell Mill Rd NW Ste #315
Atlanta, GA 30327-2119
Phone: (404) 603-9090
Fax: (404) 603-9634
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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 number1548459860
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kamal Kabakibou — Owner/President · (404) 603-9090
NPI enumeratedOctober 23, 2007
Last updated in NPPESOctober 23, 2007
Mailing address3193 Howell Mill Rd Nw, Ste. #315, Atlanta, GA 30327-2119

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