Organization
ORTHO SPORT AND SPINE PHYSICIANS DECATUR OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY BATTLE (CREDENTIALING SPECIALIST)
(678) 783-7619
Entity
Organization
Contact information
Practice address
1834 CLAIRMONT RD, DECATUR, GA 30033
(404) 965-9116
Mailing address
5788 ROSWELL RD, ATLANTA, GA 30328-4904
(678) 783-7619
(770) 234-5326
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
63721
GA
Other
Enumeration date
05/14/2015
Last updated
02/23/2021
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