Organization
LIFE ORTHOPAEDIC & SPINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DASHAWN BAKARI M.D. (OWNER OF LIFE ORTHOPAEDIC & SPINE C)
(770) 477-1115
Entity
Organization
Contact information
Practice address
4426 TILLY MILL RD, DUNWOODY, GA 30360-2105
(770) 477-1115
(770) 477-1119
Mailing address
4426 TILLY MILL RD, DUNWOODY, GA 30360-2105
(770) 477-1115
(770) 477-1119
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
62097
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032883905C
—
GA
Enumeration date
04/09/2015
Last updated
06/27/2016
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