Organization
PREMIER SPINE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BILLINGHURST MD (OWNER)
(404) 296-5005
Entity
Organization
Contact information
Practice address
2801 N DECATUR RD, SUITE 200, DECATUR, GA 30033-5949
(404) 296-5005
(404) 296-2070
Mailing address
2801 N DECATUR RD, SUITE 200, DECATUR, GA 30033-5949
(404) 296-5005
(404) 296-2070
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
63563
GA
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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