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

Southern Pain Institute, PC

Organization Specialist · NPI 1639584378

Southern Pain Institute, PC is a Specialist in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
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

3886 Princeton Lakes Way SW Ste 240
Atlanta, GA 30331-5511
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

Specialist (primary) Taxonomy 174400000X · Licence 045425 (GA)

Record details

NPI number1639584378
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Clavo — President/Owner · (770) 632-3730
Other names Southern Spine & Pain Institute
NPI enumeratedJune 20, 2014
Last updated in NPPESJune 20, 2014
Mailing addressPo Box 740209, Lockbox Dept 40257, Atlanta, GA 30374-0209

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