NPI age
15 years
Enumerated 2010-07-22
● Active Type 2 · Organization
Southern Pain Institute P C
Southern Pain Institute P C is 1 of 1965 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clavo
Pic
Last NPPES update
2015-02-24
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
15 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-07Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
1501 Milstead Rd Ne Ste 140
Conyers, GA 300123849
Mailing address
1975 Highway 54 W, Ste 100
Peachtree City, GA 302694794
Authorized official
Lynn Clavo
Pic
📞 7706323730
Specialties
-
Pharmacy PrimaryA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003100329A | |
| 01 | 2125516 | PK |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Southern Pain Institute
Practice context
Single-site organization. Only one practice location on file.
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