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

Southern Pain Institute, PC

Organization Interventional Pain Medicine Physician · NPI 1336232958

Southern Pain Institute, PC is an Interventional Pain Medicine Physician in Peachtree City, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1975 Highway 54 W Ste 100
Peachtree City, GA 30269-4794
Phone: (770) 632-3730
Fax: (770) 632-3731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 045425 (GA)

Record details

NPI number1336232958
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Clavo — President · (770) 632-3730
Other names Southern Pain & Diagnostics Institute
NPI enumeratedOctober 2, 2006
Last updated in NPPESJuly 27, 2015
Mailing address1975 Highway 54 W, Suite 100, Peachtree City, GA 30269-4794

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