Organization
THE EMORY CLINIC, INC
Active
Other names
Emory Spine Physiatry Outpatient Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE MASON (OPERATIONS ADMINISTRATOR)
(404) 778-5639
Entity
Organization
Contact information
Practice address
59 EXECUTIVE PARK DR, ATLANTA, AL 30329
(404) 778-5234
Mailing address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-5639
(404) 778-0019
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
044278
GA
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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