Organization
ATLANTA SPINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY FORD (PRACTICE ADMINISTRATOR)
(678) 369-6934
Entity
Organization
Contact information
Practice address
1288 WELLBROOK CIR NE STE A, CONYERS, GA 30012-8032
(678) 369-6934
Mailing address
1288 WELLBROOK CIR NE STE A, CONYERS, GA 30012-8032
(678) 369-6934
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
01/12/2016
Last updated
08/13/2019
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