OrganizationActive
Solutions Pain and Interventional Spine Doctors
NPI 1164168571 · Pain Medicine Physician · Peachtree Corners, GA
Provider details
- NPI number
- 1164168571
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Priscilla Agbenyefia, Owner(470) 275-3626
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3780 Holcomb Bridge Rd Ste D
Peachtree Corners, GA 30092-4877
Phone: (470) 275-3626
Approximate (ZIP-level) locationGet directions
Mailing address
3780 Holcomb Bridge Rd Ste D
Peachtree Corners, GA 30092-4877
Registry dates
- Enumerated
- 2022-05-09
- Last updated
- 2025-06-03
- Certified
- 2025-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.