# ALLIANCE SPORTS MEDICINE LLC

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

## Provider details

- **NPI number:** 1841825122
- **Authorized official:** ERICA E ZOELLER (OFFICE MANAGER)
- **Authorized official phone:** (770) 851-9890

## Contact information

- **Practice address:** 6110 MCFARLAND STATION DR STE 400, ALPHARETTA, GA 30004-6801
- **Practice address phone:** (770) 851-9890
- **Mailing address:** 6110 MCFARLAND STATION DR STE 400, ALPHARETTA, GA 30004-6801
- **Mailing address phone:** (770) 851-9890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2020
- **Last updated:** 10/20/2020