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Contact Information

GWINNETT SPINE SPECIALISTS LLC
1625 PLEASANT HILL RD
SUITE 215
DULUTH, GA30096-2326
 Phone: 470-299-6859
 Fax: 470-299-8397
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for GWINNETT SPINE SPECIALISTS LLC · (Female)

NPI Number 1841736303
Status Active
Credentials
Entity Individual
Enumeration date 01/09/2017
Last updated 01/09/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 1831215714
  • GA License # CHIRO08008
  • GA Other 202I013104 MEDCARE PTAN NUMBER
  • GA Other 1043336498 NPI NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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