Spine Center Atlanta South, LLC

NPI #1548795719 in Stockbridge, Georgia

Provider Information

NPI Number
1548795719
Entity Type
Organization
Organization Name
Spine Center Atlanta South, LLC
Primary Specialty
Orthopaedic Surgery
Enumeration Date
Apr 25, 2017
Last Updated
Dec 14, 2018

Practice Location

Address
102 VINCENT AVE.
State
Georgia
ZIP Code
30281-5049
Phone
(678) 974-0158

Authorized Official

Name
STEVEN WEIDLER
Title
CHIEF OPERATING OFFICER
Phone
(404) 351-5812

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation
Pain Medicine - Pain MedicinePain Medicine
Orthopaedic Surgery

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