# ATLANTA SPORTS AND SPINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sports and Spine Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720439136
- **Authorized official:** DR. AMRISH DINUBHAI PATEL MD (CEO/OWNER)
- **Authorized official phone:** (706) 580-3607

## Contact information

- **Practice address:** 2340 PATRICK HENRY PKWY, 150, MCDONOUGH, GA 30253-4325
- **Practice address phone:** (678) 866-3646
- **Practice address fax:** (678) 804-6862
- **Mailing address:** 2340 PATRICK HENRY PKWY, 150, MCDONOUGH, GA 30253-4325
- **Mailing address phone:** (678) 866-3646
- **Mailing address fax:** (678) 804-6862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204R00000X | Electrodiagnostic Medicine Physician | 067950 | GA | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 067950 | GA | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | 067950 | GA | — |

## Other

- **Enumeration date:** 06/27/2016
- **Last updated:** 05/11/2018