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

Southern Pain Institute P C

Organization Pharmacy · NPI 1750665584

Southern Pain Institute P C is a Pharmacy in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1975 Highway 54 W Ste 100
Fayetteville, GA 30214-4794
Phone: (770) 631-5158
Fax: (770) 632-3731
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

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHRE009784 (GA)
Pharmacy Taxonomy 333600000X
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1750665584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynn Clavo — Chief Pharmacist · (770) 313-3380
Other names Parish Pharmacy
NPI enumeratedSeptember 28, 2011
Last updated in NPPESMarch 20, 2013
Mailing address1975 Highway 54 W, Suite 100, Fayetteville, GA 30214-4794

Other providers in Fayetteville