Pinnacle Orthopaedics & Sports Medicine Specia

NPI 1235405747 - Orthopaedic Surgery - 207XX0005X

NPI Details
NPI 1235405747
Enumeration Date 03/29/2012
Last Updated 03/29/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DONNA L DONNA
Position CHIEF ADMINISTRATIVE OFFICER
Phone (770) 427-5717
Fax (770) 514-5040
Practice Location
1000 CHASTAIN ROAD
BUILDING II
KENNESAW GA, 30144-0000, US
Phone (770) 427-5717
Fax (770) 514-5040
Business Location
300 TOWER ROAD
SUITE 200
MARIETTA GA, 30060-9403, US
Phone (770) 427-5717
Fax (770) 514-5040
Toxanomy
Taxonomy Code 207XX0005X
License State Georgia
License Number 64509
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According to our database, Pinnacle Orthopaedics & Sports Medicine Specia NPI is 1235405747, taxonomy code is 207XX0005X and license number is 64509, license state is located at Georgia. Pinnacle Orthopaedics & Sports Medicine Specia physically located at 1000 Chastain Road, Kennesaw GA, 30144-0000. NPI Number 1033115704 has the healthcare provider type.

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1235405747 NPI number is provided on an as is basis without warranty of any kind. 1235405747 is maintained by the National Plan & Provider Enumeration System. The contents of Pinnacle Orthopaedics & Sports Medicine Specia are for informational purposes only.