Organization
AXIS JOINT & SPINE SURGICAL CENETR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FITZ HARPER MD (MEDICAL DIRECTOR)
(678) 431-7386
Entity
Organization
Contact information
Practice address
1001 VIRGINIA AVE STE 150, HAPEVILLE, GA 30354-1373
(678) 782-7999
(404) 334-7274
Mailing address
1506 ROCK QUARRY RD, STOCKBRIDGE, GA 30281-5047
(678) 782-7999
(404) 334-7274
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962433508
COMMERCIAL INSURANCE
GA
Enumeration date
12/02/2022
Last updated
12/02/2022
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