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Organization
ATLANTA SPORTS AND SPINE LLC
Active
Organization
ATLANTA SPORTS AND SPINE LLC
Active
Other names
Sports and Spine Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMRISH DINUBHAI PATEL MD (CEO/OWNER)
(706) 580-3607
Entity
Organization
Contact information
Practice address
2340 PATRICK HENRY PKWY, 150, MCDONOUGH, GA 30253-4325
(678) 866-3646
(678) 804-6862
Mailing address
2340 PATRICK HENRY PKWY, 150, MCDONOUGH, GA 30253-4325
(678) 866-3646
(678) 804-6862
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
067950
GA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
067950
GA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
067950
GA
Other
Enumeration date
06/27/2016
Last updated
05/11/2018
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