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Organization
BUCKHEAD INJURY AND WELLNESS INSTITUTE PC
Active
Organization
BUCKHEAD INJURY AND WELLNESS INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIONEL JOHNSON (PRACTICE MANAGER)
(770) 439-7575
Entity
Organization
Contact information
Practice address
5825 GLENRIDGE DR NE STE 212, ATLANTA, GA 30328-5387
(888) 779-3903
Mailing address
5825 GLENRIDGE DR NE STE 212, ATLANTA, GA 30328-5387
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
27927
GA
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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