Organization
SPINE SPECIALISTS OF ATLANTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANA GENE PICCIRILLO (OWNER)
(770) 934-4233
Entity
Organization
Contact information
Practice address
1462 MONTREAL RD. SUITE 212, TUCKER, GA 30084-6929
(770) 934-4233
(678) 395-4585
Mailing address
1462 MONTREAL RD. SUITE 212, TUCKER, GA 30084-6929
(770) 934-4233
(678) 395-4585
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
79267
GA
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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