Organization
SPINE & ORTHOPEDIC CENTER
Active
Other names
Southside Orthopedic Center aka Spine & Orthopedic Centre
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAN N SOOD MD (MD PRESIDENT)
(770) 473-0038
Entity
Organization
Contact information
Practice address
1287 HWY 138, SPUR #8, JONESBORO, GA 30236
(770) 473-0038
(770) 471-4290
Mailing address
1287 HWY 138, SPUR #8, JONESBORO, GA 30236
(770) 473-0038
(770) 471-4290
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
021593
GA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
021593
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000200934C
—
GA
01
—
157600900
DEPT OF LABOR
GA
01
—
200020230
RAILROAD MEDICARE
GA
01
—
303578
WELLCARE
GA
01
—
495745
BLUE CROSS BLUE SHIELD
GA
01
—
P0908912
UNITED HEALTHCARE
GA
Enumeration date
03/28/2006
Last updated
10/09/2025
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