NPI 1073979621 · live from the CMS NPI Registry
Atlanta Spine, PC
Orthopaedic Surgery in Conyers, GA. National Provider Identifier 1073979621, active.
NPI record
| NPI | 1073979621 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 1288 Wellbrook Cir Ne Ste A, Conyers, GA 30012 |
| Practice phone | 678-369-6934 |
| Enumerated | January 12, 2016 |
| Last updated | August 13, 2019 |
| Authorized official | Kimberly Ford, Practice Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Medicine & Rehabilitation, Pain Medicine | 2081P2900X | — |
| Pain Medicine, Interventional Pain Medicine | 208VP0014X | — |
| Orthopaedic Surgery primary | 207X00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.