Organization
SPINE SPECIALISTS OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE A ELINE JR. DO (OWNER)
(404) 296-5005
Entity
Organization
Contact information
Practice address
2801 N DECATUR RD STE 200, DECATUR, GA 30033-5936
(404) 296-5005
(404) 296-5058
Mailing address
2536 BODDIE PL, DULUTH, GA 30097-7489
(404) 296-5005
(404) 296-5058
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
048622
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495498433A
—
GA
Enumeration date
11/06/2009
Last updated
11/06/2009
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