Organization
DR JULIO ORTHO SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN PALLONE (PRACTICE MANAGER)
(404) 296-5005
Entity
Organization
Contact information
Practice address
2801 N DECATUR RD STE 200, DECATUR, GA 30033-5936
(404) 296-5005
(404) 296-9417
Mailing address
2801 N DECATUR RD STE 200, DECATUR, GA 30033-5936
(404) 296-5005
(404) 296-9417
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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