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

Southern Pain Institute P C

Organization Community/Retail Pharmacy · NPI 1174836845

Southern Pain Institute P C is a Community/Retail Pharmacy in Conyers, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in
GA
In the registry since
2010

Practice location Address checks out

1501 Milstead Rd NE Ste 140
Conyers, GA 30012-3849
Phone: (770) 632-3730
Fax: (770) 632-3731
Show map & directions

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

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHRE009658 (GA)

Record details

NPI number1174836845
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynn Clavo — Pic · (770) 632-3730
Other names Southern Pain Institute
NPI enumeratedJuly 22, 2010
Last updated in NPPESFebruary 24, 2015
Mailing address1975 Highway 54 W, Ste 100, Peachtree City, GA 30269-4794

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