Spine Specialists of Atlanta, LLC

NPI #1114417250 in Tucker, Georgia

Provider Information

NPI Number: 1114417250
Entity Type: Organization
Organization Name: Spine Specialists of Atlanta, LLC
Primary Specialty: General Practice
Enumeration Date: May 15, 2018
Last Updated: May 15, 2018

Practice Location

Address: 1462 MONTREAL RD. SUITE 212
City: Tucker
State: Georgia
ZIP Code: 30084-6929
Phone: (770) 934-4233

Authorized Official

Name: MR. DANA GENE PICCIRILLO
Title: OWNER
Phone: (770) 934-4233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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