Organization
MINIMALLY INVASIVE NEUROSPINE AND PAIN INSTITUTE, P.C.
Active
Other names
AllSpine Surgery Center, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRAM REZAIAMIRI M.D. (PRESIDENT)
(770) 997-0600
Entity
Organization
Contact information
Practice address
900 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-7343
(770) 997-0600
(770) 991-5576
Mailing address
33 UPPER RIVERDALE RD SW, #25, RIVERDALE, GA 30274-2626
(770) 997-0600
(770) 991-5576
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
GA
Other
Enumeration date
11/20/2011
Last updated
11/20/2011
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