Organization
MINIMALLY INVASIVE NEUROSPINE AND PAIN INSTITUTE, PC
Active
Other names
AllSpine Surgery center
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHRAM REZAIAMIRI MD (PHYSICIAN)
(770) 997-0600
Entity
Organization
Contact information
Practice address
33 UPPER RIVERDALE RD SW, #25, RIVERDALE, GA 30274-2626
(770) 997-0600
(770) 991-5576
Mailing address
900 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-7343
(770) 997-0600
(770) 991-5576
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
GA
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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