Georgia Spine Specialists
LBN: Georgia Spine Specialists
Georgia Spine Specialists is an health care organization with primary practice located at 3903 S Cobb Dr Se Suite 105, Smyrna GA 30080-6342. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty.
Georgia Spine Specialists can be contacted via phone (678) 838-6600, or through Jimenez, Miguel via phone (678) 838-6600.
Contact Information
Primary practice address
3903 S Cobb Dr Se Suite 105
Smyrna GA 30080-6342
Phone: (678) 838-6600
Fax: (770) 334-1477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1417987207 |
|---|---|
| LBN Legal business name | Georgia Spine Specialists |
| DBA Doing business as | |
| Authorized official | Jimenez, Miguel Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Apr 17th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417987207 | NPPES |
| Georgia | MEDICAID | 615972752B | |
| Georgia | MEDICAID | 805775515A |
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