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Fx Spine And Performance Center, Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
FX SPINE AND PERFORMANCE CENTER, LLC15589706402020-12-03

The organization Fx Spine And Performance Center, Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1558970640. Registration indicates Fx Spine And Performance Center, Llc is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Anesthesiology (Anesthesiology: Pain Medicine, ) (All Other Specialties & Provider Types, ) (Anesthesiology Pain Medicine, Allopathic & Osteopathic Physicians) (Anesthesiology, ) (Ambulatory Health Care Facilities, Clinic/Center) (Clinic/Center: Pain, ) (Clinic/Center Pain, Ambulatory Health Care Facilities) (Clinic/Center, )

Entity TypeOrganization
Provider OrganizationFX SPINE AND PERFORMANCE CENTER, LLC
Practice Office Address106 SRP DR STE B
EVANS, GA US
Practice Office Telephone7068426800
Practice Office Fax7068426780
Mailing Address824 KESTREL DR
EVANS, GA 308090328 US
Business Telephone7175575926
Authorized OfficialNICHOLAS ALLAN DEANGELO, PRESIDENT
7175575926
HPT Codes
CodePractice
License No
State
207LP2900X PRIMARY
Allopathic & Osteopathic Physicians
Anesthesiology
Anesthesiology: Pain Medicine

All Other Specialties & Provider Types

Anesthesiology Pain Medicine
Allopathic & Osteopathic Physicians
Anesthesiology
261QP3300X
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Pain

Clinic/Center Pain
Ambulatory Health Care Facilities
Clinic/Center
193400000X SINGGroup Code
OPI Codes
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