Organization
ATLANTA SPINE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARA BADIE (BILLING)
(770) 876-6964
Entity
Organization
Contact information
Practice address
608 MORELAND AVE NE, ATLANTA, GA 30307-1425
(404) 687-2382
(770) 452-2844
Mailing address
608 MORELAND AVE NE, ATLANTA, GA 30307-1425
(404) 687-2382
(770) 452-2844
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
CHIR008167
GA
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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