Organization
PINNACLE ORTHOPAEDICS & SPORTS MEDICINE SPECIA
Active
Parent organization
PINNACLE ORTHOPAEDICS & SPORTS MEDICINE SPECIALISTS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINNACLE ORTHOPAEDICS & SPORTS MEDICINE SPECIALISTS, LLC
Authorized official
DONNA L FISHER CAO (CHIEF ADMINISTRATIVE OFFICER)
(770) 429-7741
Entity
Organization
Contact information
Practice address
1000 CHASTAIN ROAD, BUILDING II, KENNESAW, GA 30144-0000
(770) 427-5717
(770) 514-5040
Mailing address
300 TOWER ROAD, SUITE 200, MARIETTA, GA 30060-9403
(770) 427-5717
(770) 514-5040
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
31591
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
64509
GA
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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