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Organization
THE EMORY CLINIC, INC
Active
Organization
THE EMORY CLINIC, INC
Active
Other names
Emory Spine Physiatry Outpatient Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE MASON (OPERATIONS ADMINISTRATOR)
(404) 778-5639
Entity
Organization
Contact information
Practice address
59 EXECUTIVE PARK DR, ATLANTA, AL 30329
(404) 778-5234
Mailing address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-5639
(404) 778-0019
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
044278
GA
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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