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David Gale, MD, is an interventional pain management specialist at Alliance Spine & Pain in Cartersville and Marietta, Georgia. 

A thought leader in Georgia, Dr. Gale has been instrumental in crafting Georgia state legislation regarding pain management. He currently serves as the Executive Director of the Georgia Society of Interventional Pain Physicians and was previously the organization’s president.  

Dr. Gale has a passion for pain management, practicing in the Atlanta area since 1997. He has been an Atlanta Magazine Top Doctor honoree for many years.

Dr. Gale earned his medical degree at Ohio State University before completing his residency as an active member of the United States Air Force at Wilford Hall Medical Center. For his fellowship, he studied at the University of Texas, San Antonio. 

Double board-certified, Dr. Gale holds an additional subspecialty certificate from the American Board of Anesthesiology and maintains membership in several professional associations. 

Beata Grochowska, MD, is a double board-certified Anesthesiologist and Pain Management  Specialist with over seventeen years of experience. Dedicated to providing high-quality care and pain relief for all her patients, Dr. Grochowska sees patients at Alliance Spine & Pain in Piedmont/Atlanta and Austell, Georgia.

Dr. Grochowska obtained her medical degree from the Medical Academies of Bialystok and Lublin (UMB) in Poland, strategically located in the heart of Europe. It’s soon to be branded Medical Academy and is ranked as one of the top global universities.

She completed her residency at Mokotow Hospital in Warsaw, Poland, and at Emory University Hospitals in Atlanta, Georgia, after relocating to the United States.

Before joining Alliance Spine & Pain, Dr. Grochowska gained valuable experience working as Medical Director and Chief of Anesthesia Services at Perimeter Surgery Center in Atlanta, specializing in chronic low back pain, Postlaminectomy syndrome, Lumbar Spondylosis, Sacroiliac Joint Dysfunction, Sciatica, cervicogenic headache, CRPS, and Neuropathic Pain.

Her associations and memberships include American Society of Interventional Pain Physicians (ASIPP), American Academy of Pain Management (AAPM), American & Georgia Societies of Anesthesiologists, Society of Ambulatory Anesthesia (SAMBA), and European Society of Anesthesia (ESAIC).

Pallavi Gupta, MD, is an anesthesiologist at Alliance Spine & Pain, proudly serving the Austell and Dallas, Georgia, offices. She is double board-certified in anesthesiology and pain management and prioritizes treating her patients with compassion and respect. 

Dr. Gupta earned her medical degree from the University of Alabama School of Medicine in Birmingham, Alabama. She then completed a Transitional Year Internship at Baptist Health System in Birmingham, Alabama.

Following this, she completed her residency in anesthesiology at Mayo Clinic College of Medicine Jacksonville in Florida. Eager to gain new skills, Dr. Gupta went on to complete a pain medicine fellowship at the University of Pittsburgh Medical Center in Pennsylvania. 

Contributing to her accomplishments, Dr. Gupta is a member of several associations, including the American Academy of Pain Medicine, the American Society of Regional Anesthesia and Pain Medicine, the American Society of Anesthesiologists, the North American Neuromodulation Society, and the Mayo Clinic Fellows Association. 

Demonstrating high-quality care to her patients, Dr. Gupta takes the time to include families and individuals in their treatment plans. Her patients describe her as communicative, personable, and reliable.

Dr. Gupta appreciates working alongside the team at Alliance Spine & Pain and looks forward to meeting the needs of new and current patients. 

Dr. Rhee Miller practices in our Conyers, Covington, and Peachtree City locations, and received her medical degree from the Medical College of Georgia before completing an anesthesiology residency at Emory University. Board certified in anesthesiology and interventional pain management, Dr. Miller specializes in spinal cord and dorsal root ganglion stimulation as well as the Vertiflex™ procedure plus she is a member of The Society of Women Innovators in Pain Management, the North American Neuromodulation Society (NANS), and the Georgia Society of Interventional Pain Physicians (GSIPP). With more than 15 years of combined experience in interventional pain and anesthesiology, Dr. Miller uses her unique experience to offer patients a variety of options to treat their pain.

Mark Stewart, MD, is a reputable anesthesiologist at Alliance Spine & Pain, serving the Augusta, Georgia, office. With over 30 years of experience in anesthesiology and pain management, Dr. Stewart shares his passion for providing health care with his team. 

He specializes in minimally invasive pain relief, including epidural steroid injections, radiofrequency treatments, sympathetic nerve blocks, facet blocks, sacroiliac blocks, peripheral nerve blocks, and many others.

Dr. Stewart began his education at the Medical College of Georgia at Augusta University. He continued his training at the same medical school, completing his residency in anesthesiology in 1989 and a fellowship in pain management in 2006. He is board-certified in anesthesiology and pain medicine by the American Board of Anesthesiology. 

He is also a member of the Richmond County Medical Society, the Medical Association of Georgia, the Georgia Society of Anesthesiologists, the American Society of Anesthesiologists, the American Society of Interventional Pain Physicians, the Georgia Society of Interventional Pain Physicians, and the International Spine Intervention Society.

Dr. Stewart enjoys participating in research, contributing to many projects and multiple presentations at medical conferences, such as “The Jehovah’s Witness in Anesthesia” and “Neuropathic Pain: History, Current Concepts, and New Horizons.” 

Dr. Stewart prioritizes providing personalized care to his patients needing pain management. He looks forward to getting to know new patients in and around Augusta and continuing to work alongside the Alliance Spine & Pain team. 

Dr. Ikenna Okpareke practices at the Douglasville and Cartersville locations and is board-certified in anesthesiology and interventional pain management. After earning his Doctorate in Medicine at Albany Medical College in Albany, New York, Dr. Okpareke then completed an anesthesiology residency at the University of Chicago followed by a fellowship in chronic interventional pain management at the prestigious Rush University Medical Center in Chicago. Dr. Okpareke then spent eight years practicing as an interventional pain specialist in Chicago before returning to Atlanta in 2022 to join Alliance Spine & Pain where he now serves on its Medical Executive Committee.

Richard Gayles, MD, is a double board-certified specialist in anesthesiology and pain management and a nationally recognized leader in regenerative medicine. With a strong commitment to excellence and patient-centered care, Dr. Gayles practices at both the Piedmont/Atlanta and Douglasville, Georgia, locations of Alliance Spine & Pain.

Upon receiving a Bachelor of Science in Psychobiology from the University of Michigan, Dr. Gayles went on to complete his Doctorate of Medicine at the University of Michigan's School of Medicine.

Dr. Gayles furthered his training by completing an anesthesia residency at Johns Hopkins in Baltimore, Maryland, and a specialized pain management fellowship at The Cleveland Clinic in Ohio. Prior to his fellowship, Dr. Gayles' dedication to learning and expanding his horizons led him overseas to England, where he spent a year studying anesthesiology and critical care at the prestigious St. Bartholomew's Hospital in London as a visiting registrar.

At Alliance Spine & Pain, Dr. Gayles offers innovative treatments and individually customized care to each patient he sees. He is committed to collaborating closely with all providers and staff to ensure that every patient receives exceptional care, reaffirming his dedication to improving the quality of life for those he serves.

Christopher Cable, MD, is a board-certified anesthesiologist and pain management specialist at Alliance Spine & Pain in Atlanta, Woodstock, and Jasper, Georgia. He is board certified in anesthesiology and pain medicine. 

He takes a comprehensive approach to pain management, offering rehabilitation, physical therapy, minimally invasive procedures, and many other services. 

Dr. Cable earned his medical degree at the Medical College of Georgia in Augusta. He completed an anesthesiology residency and a pain management fellowship at Emory University in Atlanta, Georgia. 

He also completed an internship in emergency medicine at Wellstar Atlanta Medical Center, and a residency in emergency medicine at the University of Florida Health Science Center Jacksonville. 

Before joining Alliance Spine & Pain, Dr. Cable founded and owned a private practice. He has extensive experience treating degenerative spine conditions, neurological pain syndrome, arthritic conditions, and numerous other pain disorders.

Dr. Cable takes continuing education classes to maintain his advanced medical credentials. He is a Diplomate of the American Board of Anesthesiology and a member of the American Society of Interventional Pain Physicians (ASIPP) and the Spine Intervention Society (SIS).

When he’s not in the office, Dr. Cable enjoys scuba diving, playing his acoustic guitar, photography, playing tennis, and traveling with his family.

He warmly welcomes patients to Alliance Spine & Pain and enjoys helping them live pain-free lives.

Dr. David Neckman practices at the Conyers, Covington, and Piedmont/Atlanta locations.  Dr. Neckman graduated from the Icahn School of Medicine at Mount Sinai in New York City where he also went on to complete a residency in anesthesiology and a pain medicine fellowship. He is double board certified in anesthesiology and pain medicine in addition to being named an Atlanta magazine Top Doctor in 2022, and again in 2023. Dr. Neckman also serves on the Clinical Governance Committee for Piedmont Hospital as the interventional pain management representative and has practiced in the Atlanta area for 5 years.

Dr. Rhee Miller practices in our Conyers, Covington, and Peachtree City locations, and received her medical degree from the Medical College of Georgia before completing an anesthesiology residency at Emory University. Board certified in anesthesiology and interventional pain management, Dr. Miller specializes in spinal cord and dorsal root ganglion stimulation as well as the Vertiflex™ procedure plus she is a member of The Society of Women Innovators in Pain Management, the North American Neuromodulation Society (NANS), and the Georgia Society of Interventional Pain Physicians (GSIPP). With more than 15 years of combined experience in interventional pain and anesthesiology, Dr. Miller uses her unique experience to offer patients a variety of options to treat their pain.

Dr. Chris Andriano is a dedicated Interventional Pain Management specialist and Physiatrist at Pain Care, LLC. He employs a comprehensive multimodal approach to pain management, aimed at restoring function and enhancing the well-being of his patients. Located in Stockbridge & Griffin GA. 

Dr. Andriano earned his medical degree at Nova Southeastern University College of Osteopathic Medicine in Florida. He completed his Physical Medicine and Rehabilitation (PM&R) residency at Detroit Medical Center in Michigan, where he served as Chief Resident. He also completed a Neurophysiology Fellowship through the Neurology Department at Detroit Medical Center, gaining expertise in Electrodiagnostic Medicine, and an ACGME accredited Interventional Pain Fellowship at Henry Ford Health in Detroit. Dr. Andriano has presented medical research at regional and national levels, contributing to multiple publications. He remains active in national pain societies, currently serving as Vice Chair of the Social Media Committee in The American Society of Pain and Neuroscience (ASPN).

Dr. Andriano treats various musculoskeletal and neurological pain conditions, recognizing the complexity of pain and tailoring treatments to align with patient goals and abilities. For cases unresponsive to conservative measures, he employs ultrasound and fluoroscopic guided techniques, including injections, radiofrequency ablations, and minimally invasive surgical procedures like spinal cord stimulation, peripheral nerve stimulation, minimally invasive lumbar decompression (mild), intradiscal injections, basivertebral ablation (Intracept), and more.

Vincent Galan, MD, MBA, DABPM, is an esteemed and board-certified anesthesiologist, as well as CEO and medical director of Pain Care, LLC, located in Stockbridge, Lawrenceville, Newnan & Johns Creek, GA. With more than 30 years of experience, Dr. Galan holds an impressive five board certifications.

He is board-certified and a diplomate of the American Board of Anesthesia, the American Academy of Pain Medicine (AAPM), the American Board of Interventional Pain Physicians (ABIPP), the American Society of Addiction Medicine (ASAM), and holds the American Board of Anesthesiology’s (ABA) Subspecialty Certification in Pain Management. 

Dr. Galan is also president of the Georgia Society of Interventional Pain Physicians. In addition, he held the distinguished position of director of the Pain Center at Southern Regional Medical Center in Riverdale, Georgia, from 1990 until 2008, when he left to start Pain Care, LLC.

After graduating from the University of Puerto Rico School of Medicine in San Juan, Puerto Rico, in 1984, Dr. Galan began practicing in the Atlanta, Georgia, area. On the cutting-edge of the pain management industry, he is constantly researching new treatments and devices to care for his patients who are suffering from chronic pain.

Chronic back pain, complex regional pain syndrome (CRPS), neuropathy, and joint pain are just a few types of pain Dr. Galan treats with evidence-based devices, such as the Nevro® spinal cord stimulation system, the Stimwave neurostimulator, Medtronic pain relief devices, the minimally invasive Vertiflex® procedure, and the Boston Scientific spinal cord stimulator.

In addition to his practice, Dr. Galan has contributed to the examination and test writing processes for three national pain organizations. 

He completed his pain fellowship at Downstate Medical Center – SUNY in Brooklyn, New York, and trained under renowned anesthesiologist Dr. P. P. Raj, professor of anesthesia at the University of Texas, at Hermann Hospital, University of Texas, in Houston, Texas.

Dr. Galan has also served on the members’ committee of the Association of Anesthesia Clinical Directors and has presented at annual meetings for the Congress of the European Association for Palliative Care, the American Pain Society, the American Society of Pain Physicians Annual Meeting, the North American Neuromodulation Society, and more.

Visit Dr. Galan's Website

David Gale, MD, is an interventional pain management specialist at Alliance Spine & Pain in Cartersville and Marietta, Georgia. 

A thought leader in Georgia, Dr. Gale has been instrumental in crafting Georgia state legislation regarding pain management. He currently serves as the Executive Director of the Georgia Society of Interventional Pain Physicians and was previously the organization’s president.  

Dr. Gale has a passion for pain management, practicing in the Atlanta area since 1997. He has been an Atlanta Magazine Top Doctor honoree for many years.

Dr. Gale earned his medical degree at Ohio State University before completing his residency as an active member of the United States Air Force at Wilford Hall Medical Center. For his fellowship, he studied at the University of Texas, San Antonio. 

Double board-certified, Dr. Gale holds an additional subspecialty certificate from the American Board of Anesthesiology and maintains membership in several professional associations. 

Kewei Yu, MD, PhD, is a highly respected, board-certified neurologist and interventional pain specialist at Atlantic Advanced Spine and Neurology Institute in Bethlehem, Lilburn, and Braselton, Georgia. Dr. Yu has over 25 years of experience diagnosing and treating complex pain conditions and neurological disorders. As the founder of one of Johns Creek's leading interventional pain and neurology clinics, Dr. Yu is committed to helping patients achieve relief through personalized, evidence-based care. 

Dr. Yu's medical journey began in Shanghai, China, where he earned his medical degree from the Second Medical University and completed a PhD in medical science in 1999. After moving to the U.S. in 2002, he pursued neuropathic pain research at Yale School of Medicine, followed by internship training at Prince George's Hospital Center and dual residency programs in Anesthesiology and Neurology at UF Health Shands Hospital. He completed his fellowship in pain management at Alabama Orthopedic Spine & Sports Medicine Associates, training under some of the field's top experts.

Dr. Yu is triple board-certified by the American Board of Psychiatry and Neurology (ABPN), the American Board of Pain Management (ABPM), and the American Board of Interventional Pain Physicians (ABIPP). He uses a multidisciplinary approach that may include medication management, nerve blocks, spinal cord stimulation, acupuncture, and advanced diagnostics like EMG/NCS, EEG, and autonomic studies to treat conditions such as chronic pain, headaches, neuropathy, and more.

Fluent in both English and Mandarin, Dr. Yu is known for his clear communication, compassionate bedside manner, and dedication to patient education. His goal is to empower patients with the knowledge and tools they need to take control of their health.

Outside of his practice, Dr. Yu enjoys traveling with his family, reading, and performing Shaoxing opera.

Fellowship-trained pain management specialist Miranda Reed Cleaver, DO, provides exceptional services to patients at the Cleaver Medical Group Interventional Pain offices in Dahlonega, Dawsonville, and Cumming, Georgia. Dr. Cleaver dedicates herself to relieving patients’ chronic pain and improving their quality of life.

Dr. Cleaver grew up in Chatsworth, Georgia, and attended the University of Georgia in Athens. She graduated in 2006 with a bachelor’s degree in biology. After college, Dr. Cleaver went to medical school at the Philadelphia College of Osteopathic Medicine’s Georgia Campus in Suwanee, Georgia. After completing her medical degree, Dr. Cleaver did her residency in anesthesiology at McLaren Oakland Hospital in Pontiac, Michigan.

Dr. Cleaver completed a fellowship in pain management at McLaren Oakland Hospital. During her training, she perfected her skills in interventional pain management procedures. She established a pain management practice serving two hospitals in Northern Missouri. But her goal was always to return to her home state. She achieved that with the creation of the Cleaver Medical Group in Georgia.

Dr. Cleaver’s professional interests include lumbar (lower back) and cervical (neck) pain, particularly conditions caused by damaged spinal discs. She specializes in complex regional pain syndrome (CRPS), thoracic (upper back) pain, knee and shoulder pain, osteoarthritis, and spinal cord stimulation. Although she can’t promise a pain-free life, Dr. Cleaver can undoubtedly reduce the overall pain burden and improve her patients’ quality of life. Her goal is to get every patient back to their previous daily function and activities.

Always a Bulldog at heart, Dr. Cleaver’s hobbies include spending time with her family and cheering on the University of Georgia Bulldogs.

Jorge Alvear, MD, is a board-certified specialist in pain management and anesthesiology who provides exceptional care at Alliance Spine & Pain Management in its Augusta, Georgia location.

Originally from Miami, Florida, Dr. Alvear's impressive educational background includes a degree in microbiology from the University of Florida in Gainesville. He earned his medical degree from the prestigious George Washington University Medical School in Washington, D.C., where he also completed his anesthesiology residency. To further hone his expertise, Dr. Alvear pursued a fellowship in pain management at the University of Utah in Salt Lake City.

With a deep commitment to alleviating pain and improving patient quality of life, Dr. Alvear combines his extensive knowledge and compassionate approach to deliver personalized treatment plans. His proficiency in the latest pain management techniques and anesthesiology practices ensures that patients receive the highest standard of care. 

Whether addressing chronic pain or providing advanced anesthetic solutions, Dr. Alvear's dedication to patient well-being is evident in every aspect of his practice at Alliance Spine & Pain.