Organization
SPINE , MUSCLE AND JOINT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIVEK PATEL (OWNER)
(678) 505-0000
Entity
Organization
Contact information
Practice address
4319 COVINGTON HWY STE 201, DECATUR, GA 30035-1206
(678) 505-0000
Mailing address
2090 LAWRENCEVILLE SUWANEE RD., STE A #515, SUWANEE, GA 30024
(678) 505-0000
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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