Organization
NORTH REGIONAL SPINE, CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL ALEXANDER JIMENEZ M.D. (CEO)
(770) 374-3714
Entity
Organization
Contact information
Practice address
314 N BROAD ST, SUITE 340, WINDER, GA 30680-2191
(678) 661-3196
(678) 661-3196
Mailing address
3390 PEACHTREE RD NE, SUITE 450, ATLANTA, GA 30326-1157
(770) 374-3714
(770) 438-1477
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
052966
GA
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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