Organization
BUCKHEAD SPINE SPECIALIST LLC
Active
Organization
BUCKHEAD SPINE SPECIALIST LLC
Active
Parent organization
GWINNETT SPINE SPECIALISTS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GWINNETT SPINE SPECIALISTS LLC
Authorized official
DAFNE SCHENENDORF (CFO)
(678) 687-6805
Entity
Organization
Contact information
Practice address
2690 BUFORD HWY NE STE 200, ATLANTA, GA 30324-5453
(404) 869-6400
(470) 299-6558
Mailing address
2690 BUFORD HWY NE STE 200, ATLANTA, GA 30324-5453
(404) 869-6400
(470) 299-6558
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/10/2022
Last updated
10/31/2023
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