Organization
VININGS SPINE & HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND EASLEY D.O (MEDICAL DIRECTOR)
(770) 955-9355
Entity
Organization
Contact information
Practice address
1675 CUMBERLAND PKWY SE, SUITE 205, SMYRNA, GA 30080-6359
(770) 955-9355
(877) 722-1023
Mailing address
1675 CUMBERLAND PKWY SE, SUITE 205, SMYRNA, GA 30080-6359
(770) 955-9355
(877) 722-1023
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
66224
GA
Other
Enumeration date
08/26/2013
Last updated
11/05/2013
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