Organization
ATLAS SPECIFIC SPINE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATE GENTILE (OFFICER)
(808) 498-0295
Entity
Organization
Contact information
Practice address
65-1184 MAMALAHOA HWY, KAMUELA, HI 96743-8431
(719) 351-6099
Mailing address
65-1184 MAMALAHOA HWY, KAMUELA, HI 96743-8431
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
11/05/2020
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