Organization
SPINAL BRACING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C KOENIG (PRESIDENT)
(770) 384-1634
Entity
Organization
Contact information
Practice address
300 VILLAGE GREEN CIR SE, STE 201, SMYRNA, GA 30080-3476
(770) 384-1634
(770) 438-6172
Mailing address
300 VILLAGE GREEN CIR SE, STE 201, SMYRNA, GA 30080-3476
(770) 384-1634
(770) 438-6172
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/25/2009
Last updated
11/25/2009
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