NPI 1104396415 · live from the CMS NPI Registry
Atlanta Spine, PC
Orthopaedic Surgery in Decatur, GA. National Provider Identifier 1104396415, active.
NPI record
| NPI | 1104396415 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 2675 N Decatur Rd Ste 401, Decatur, GA 30033 |
| Practice phone | 678-369-6934 |
| Mailing address | 1288 Wellbrook Cir Ne Ste A, Conyers, GA 30012 |
| Enumerated | November 29, 2018 |
| Last updated | November 29, 2018 |
| Authorized official | Harvinder Bhatti, Owner |
| Other names | Atlanta Spine |
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.