Georgia Spine Specialists

NPI 1013206952 - Specialist - 174400000X

NPI Details
NPI 1013206952
Enumeration Date 03/31/2011
Last Updated 03/31/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MIGUEL A MIGUEL
Position CEO
Phone (678) 838-6600
Fax (770) 438-1477
Practice Location
3903 S COBB DR SE
STE 105
SMYRNA GA, 30080-8504, US
Phone (678) 838-6600
Fax (770) 438-1477
Business Location
11 MAYBELLE ST
CARTERSVILLE GA, 30120-3615, US
Phone (770) 334-2065
Fax (770) 334-2066
Toxanomy
Taxonomy Code 174400000X
License State Georgia
License Number 52966
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According to our database, Georgia Spine Specialists NPI is 1013206952, taxonomy code is 174400000X and license number is 52966, license state is located at Georgia. Georgia Spine Specialists physically located at 3903 S Cobb Dr Se, Smyrna GA, 30080-8504. NPI Number 1033115704 has the healthcare provider type.

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1013206952 NPI number is provided on an as is basis without warranty of any kind. 1013206952 is maintained by the National Plan & Provider Enumeration System. The contents of Georgia Spine Specialists are for informational purposes only.