Organization
ATLANTA SPORTS AND SPINE LLC
Active
Other names
Sports and Spine Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMRISH DINUBHAI PATEL MD (CEO/OWNER)
(706) 580-3607
Entity
Organization
Contact information
Practice address
2340 PATRICK HENRY PKWY, 150, MCDONOUGH, GA 30253-4325
(678) 866-3646
(678) 804-6862
Mailing address
2340 PATRICK HENRY PKWY, 150, MCDONOUGH, GA 30253-4325
(678) 866-3646
(678) 804-6862
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
067950
GA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
067950
GA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
067950
GA
Other
Enumeration date
06/27/2016
Last updated
05/11/2018
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