Organization
NEUROSPINE ATLANTA, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA PICCIRILLO (CEO)
(678) 850-0357
Entity
Organization
Contact information
Practice address
3515 BRASELTON HWY, SUITE E-2, DACULA, GA 30019
(770) 614-6630
(770) 614-6684
Mailing address
1462 MONTREAL RD, SUITE 212, TUCKER, GA 30084
(770) 800-4357
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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