Organization
SOUTH ATLANTA SPINE AND JOINT CENTER LLC
Active
Parent organization
PHENIX CITY SPINE AND JOINT CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHENIX CITY SPINE AND JOINT CENTER
Authorized official
DR. STEPHEN B COOPER DC, FACMUAP (OWNER/PROVIDER)
(774) 957-7738
Entity
Organization
Contact information
Practice address
541 FOREST PKWY STE 14, FOREST PARK, GA 30297-6110
(877) 495-7773
(877) 292-4848
Mailing address
541 FOREST PKWY, SUITE 14, FOREST PARK, GA 30297-6144
(404) 431-9011
(877) 292-4848
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR004974
GA
111N00000X
Chiropractor
CHIR009021
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHIR004974
STATE OF GEORGIA
GA
Enumeration date
12/15/2016
Last updated
06/14/2022
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