Georgia Spine Specialists

LBN: Georgia Spine Specialists
Georgia Spine Specialists is an health care organization with primary practice located at 51 Gordon Rd Suite 1, Jasper GA 30143-7105. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. 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 A via phone (678) 838-6600.

Contact Information

Primary practice address
51 Gordon Rd Suite 1 Jasper GA 30143-7105
Phone: (678) 838-6600
Fax: (770) 438-1477
Website:
Map and Directions
Authorized official contact:
Name: Jimenez, Miguel A Doctor of Medicine (MD)
Phone: (678) 838-6600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X GA052966 Georgia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X GA052966 Georgia

Profile Details

NPI number 1558528190
LBN Legal business name Georgia Spine Specialists
DBA Doing business as
Authorized official Jimenez, Miguel A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2008
Last updated Apr 17th, 2009 - about 15 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 1558528190 NPPES
Georgia MEDICAID 615972752B
Georgia Other 52062173007
Georgia MEDICAID 615972752A
Georgia MEDICAID 805775515A
Georgia Other 52062173008
Georgia Other 611911600
Georgia Other GRP7885

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