Organization
BARRACK SPINE AND JOINT MEDICINE, INC.
Active
Organization
BARRACK SPINE AND JOINT MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA LYMAN (BUSINESS MANAGER)
(678) 738-7601
Entity
Organization
Contact information
Practice address
1230 JOHNSON FERRY PL, SUITE H-15/20, MARIETTA, GA 30068-2048
(678) 738-7601
(678) 738-7605
Mailing address
1230 JOHNSON FERRY PL, SUITE H-15/20, MARIETTA, GA 30068-2048
(678) 738-7601
(678) 738-7605
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/08/2009
Last updated
09/13/2010
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