Organization
BUCKHEAD INJURY AND WELLNESS INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIONEL JOHNSON (PRACTICE MANAGER)
(770) 439-7575
Entity
Organization
Contact information
Practice address
5825 GLENRIDGE DR NE STE 212, ATLANTA, GA 30328-5387
(888) 779-3903
Mailing address
5825 GLENRIDGE DR NE STE 212, ATLANTA, GA 30328-5387
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
27927
GA
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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