Organization
PERIMETER SPINE & REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATLEE WAMPLER IV (PRESIDENT)
(770) 392-9299
Entity
Organization
Contact information
Practice address
7100 PEACHTREE DUNWOODY RD NE, SUITE 100, ATLANTA, GA 30328-1689
(770) 392-9299
(770) 392-9298
Mailing address
7100 PEACHTREE DUNWOODY RD NE STE 100, ATLANTA, GA 30328-1689
(770) 392-9299
(770) 392-9298
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
038955
GA
332BC3200X
Customized Equipment (DME)
038955
GA
Other
Enumeration date
09/14/2009
Last updated
02/18/2013
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