Organization
ORTHO SPORT & SPINE PHYSICIANS BUFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANESSA HASTINGS (DIRECTOR)
(404) 935-9116
Entity
Organization
Contact information
Practice address
4271 S LEE ST, BUFORD, GA 30518-3710
(404) 935-9116
Mailing address
5788 ROSWELL RD, ATLANTA, GA 30328-4904
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
02/22/2021
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