Organization
ORTHO SPORT & SPINE PHYSICIANS MORROW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANESSA A HASTINGS (DIRECTOR OF REVEUNE)
(404) 935-9116
Entity
Organization
Contact information
Practice address
6630 EXCHANGE PL, MORROW, GA 30260-2310
(678) 752-7246
Mailing address
5788 ROSWELL RD, ATLANTA, GA 30328-4904
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
63721
GA
Other
Enumeration date
01/06/2015
Last updated
02/22/2021
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