Spine Center Riverdale, Llc

LBN: Spine Center Atlanta South, Llc
Spine Center Riverdale, Llc is an health care organization with primary practice located at 102 Vincent Ave. , Stockbridge GA 30281-5049. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Spine Center Atlanta South, Llc can be contacted via phone (678) 974-0158, or through Weidler, Steven via phone (404) 351-5812.

Contact Information

Primary practice address
102 Vincent Ave. Stockbridge GA 30281-5049
Phone: (678) 974-0158
Fax: (678) 608-3217
Website:
Map and Directions
Authorized official contact:
Name: Weidler, Steven
Phone: (404) 351-5812

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 063309 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X

Profile Details

NPI number 1548795719
LBN Legal business name Spine Center Atlanta South, Llc
DBA Doing business as Spine Center Riverdale, Llc
Authorized official Weidler, Steven
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2017
Last updated Dec 14th, 2018 - about 6 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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