Organization
PROGRESSIVE SPINAL & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BONNER DC (OFFICE MANAGER)
(770) 876-6972
Entity
Organization
Contact information
Practice address
777 CLEVELAND AVE SW STE 406, ATLANTA, GA 30315-7119
(770) 876-6972
(770) 452-2844
Mailing address
777 CLEVELAND AVE SW STE 406, ATLANTA, GA 30315-7119
(770) 876-6972
(770) 452-2844
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
006388
GA
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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