Organization
PINNACLE ORTHOPAEDICS & SPORTS MEDICINE SPECIALISTS, LLC
Active
Parent organization
PINNACLE ORTHOPAEDICS & SPORTS MEDICINE SPECIALISTS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINNACLE ORTHOPAEDICS & SPORTS MEDICINE SPECIALISTS, LLC
Authorized official
DONNA L FISHER CAO (CHIEF ADMINISTRATIVE OFFICER)
(770) 429-7741
Entity
Organization
Contact information
Practice address
4550 COBB PARKWAY NW, SUITE 309G, ACWORTH, GA 30101-0000
(678) 213-5717
(678) 213-5723
Mailing address
300 TOWER ROAD, SUITE 200, MARIETTA, GA 30060-9403
(770) 427-5717
(770) 514-6744
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
31591
GA
208100000X
Physical Medicine & Rehabilitation Physician
65285
GA
Other
Enumeration date
06/27/2012
Last updated
10/22/2012
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