Pca Interventional Spine at Fayette, LLC
Pca Interventional Spine at Fayette, LLC is an Ambulatory Surgical Clinic/Center in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2017.
- Licensed in
- GA
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1233 Highway 54 W Ste 205Fayetteville, GA 30214-4542
Phone: (404) 351-7654
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pain Clinic/Center (primary) | Taxonomy 261QP3300X |
|---|---|
| Ambulatory Surgical Clinic/Center | Taxonomy 261QA1903X · Licence IN PROCESS (GA) |
Record details
| NPI number | 1447791074 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rodrigo Duralde — Owner · (404) 351-7654 |
| NPI enumerated | March 15, 2017 |
| Last updated in NPPES | February 20, 2026 |
| Certification date | February 20, 2026 |
| Mailing address | Po Box 40061, Belfast, ME 04915-1237 |
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