Organization
ORTHO KINETIC SPINE AND REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKILIAH JOHNSON DC (OWNER)
(202) 277-2255
Entity
Organization
Contact information
Practice address
2000 POWERS FERRY RD SE STE 2206, MARIETTA, GA 30067-1203
(470) 394-0111
(470) 443-1707
Mailing address
1089 WATERBURY CLOSE, POWDER SPRINGS, GA 30127-4942
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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