Georgia Complex Spine, Llc

LBN: Georgia Complex Spine, Llc
Georgia Complex Spine, Llc is an health care organization with primary practice located at 1368 Southlake Plaza Dr , Morrow GA 30260-1756. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as the primary health care specialty. Georgia Complex Spine, Llc can be contacted via phone (678) 767-2569, or through James, Stephen Bruce via phone (678) 521-7064.

Contact Information

Primary practice address
1368 Southlake Plaza Dr Morrow GA 30260-1756
Phone: (678) 767-2569
Fax: (678) 550-9990
Website:
Map and Directions
Authorized official contact:
Name: James, Stephen Bruce Doctor of Osteopathy (DO)
Phone: (678) 521-7064

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 50385 Georgia

Profile Details

NPI number 1083165252
LBN Legal business name Georgia Complex Spine, Llc
DBA Doing business as
Authorized official James, Stephen Bruce Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2016
Last updated Oct 21st, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083165252 NPPES
Georgia MEDICAID 000911919
Georgia Other 1013904697

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