Organization
SPECIALTY SPINE INTERVENTION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE SLOAN RN,FACMPE,CPC (ADMINISTRATOR)
(770) 297-7277
Entity
Organization
Contact information
Practice address
1240 JESSE JEWELL PKWY SE, STE 300, GAINESVILLE, GA 30501-3862
(770) 297-7277
Mailing address
1240 JESSE JEWELL PKWY SE, STE 300, GAINESVILLE, GA 30501-3862
(770) 297-7277
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2006
Last updated
08/22/2020
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