# SPORTS SPINE & REHAB SPECIALISTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336583871
- **Authorized official:** ENE OJILE SAINT-PREUX M.D. (PHYSICIAN)
- **Authorized official phone:** (212) 851-6418

## Contact information

- **Practice address:** 3379 PEACHTREE RD NE \# 0, SUITE 555, ATLANTA, GA 30326-1031
- **Practice address phone:** (404) 965-0874
- **Mailing address:** 115 CLARIN WAY, PEACHTREE CITY, GA 30269-3439
- **Mailing address phone:** (404) 965-0874

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 68551 | GA | Yes |

## Other

- **Enumeration date:** 04/27/2013
- **Last updated:** 04/27/2013