PS
PAVILION SPINE SURGERY CENTER LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
ATLANTA, GA
Licensed since
2007
Rate
—
Federal identifiers
NPI registry number1548459860
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients77
RevalidationDue 2025-07-31
Authorized official
NameKAMAL KABAKIBOU
TitleOWNER/PRESIDENT
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