Organization
ADVANCE SPINAL CARE OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN BONNER DC (MANAGER)
(770) 475-8221
Entity
Organization
Contact information
Practice address
11940 ALPHARETTA HWY, SUITE 110, ALPHARETTA, GA 30004-2003
(770) 475-8221
(770) 619-9606
Mailing address
11940 ALPHARETTA HWY, SUITE 110, ALPHARETTA, GA 30004-2003
(770) 475-8221
(770) 619-9606
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
621111
GA
Other
Enumeration date
12/05/2006
Last updated
10/26/2007
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