NPI 1003975574 · live from the CMS NPI Registry
Alliance Health Group LLC
Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery in Suwanee, GA. National Provider Identifier 1003975574, active.
NPI record
| NPI | 1003975574 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery 207XS0114X |
| Practice location | 3320 Lawrenceville Suwanee Road, Suite 1c, Suwanee, GA 30024 |
| Practice phone | 678-714-5722 |
| Enumerated | December 8, 2006 |
| Last updated | September 11, 2025 |
| Authorized official | Abdo Ibrahim, Co Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | CHIRO007116 (GA) |
| Chiropractor | 111N00000X | CHIRO006264 (GA) |
| Physical Therapist | 225100000X | GA11414 (GA) |
| Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery primary | 207XS0114X | GA6920 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.