| Spine Specialists Of Atlanta, Llc | |
|
1462 Montreal Rd. Suite 212 Tucker GA 30084-6929 | |
| (770) 934-4233 | |
| (678) 395-4585 |
| Full Name | Spine Specialists Of Atlanta, Llc |
|---|---|
| Speciality | General Practice |
| Location | 1462 Montreal Rd. Suite 212, Tucker, Georgia |
| Authorized Official Name and Position | Dana Gene Piccirillo (OWNER) |
| Authorized Official Contact | 7709344233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spine Specialists Of Atlanta, Llc 1462 Montreal Rd. Suite 212 Tucker GA 30084-6929 Ph: (770) 934-4233 | Spine Specialists Of Atlanta, Llc 1462 Montreal Rd. Suite 212 Tucker GA 30084-6929 Ph: (770) 934-4233 |
| NPI Number | 1114417250 |
|---|---|
| Provider Enumeration Date | 05/15/2018 |
| Last Update Date | 05/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114417250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 79267 (Georgia) | Primary |
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