Organization
THE INJURY WELLNESS SURGICAL AND PROCEDURE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIONEL TERRY JOHNSON (COO)
(770) 439-7575
Entity
Organization
Contact information
Practice address
2483 POWDER SPRINGS RD SW, STE C, MARIETTA, GA 30064-4573
(770) 439-7575
(770) 439-7550
Mailing address
2483 POWDER SPRINGS RD SW, STE C, MARIETTA, GA 30064-4573
(770) 439-7575
(770) 439-7550
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
About Stedi
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