Organization
CENTER FOR SPINE INTERVENTIONS ASC 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE RAYA (OFFICE MANAGER)
(678) 813-2741
Entity
Organization
Contact information
Practice address
2713 CHARLES HARDY PARKWAY, STE. 224, DALLAS, GA 30157-9470
(678) 813-2741
(770) 575-3912
Mailing address
2713 CHARLES HARDY PARKWAY, STE. 212/222, DALLAS, GA 30157-9470
(678) 813-2741
(770) 575-3912
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2018
Last updated
08/07/2019
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