National Provider Identifier Database

GWINNETT SPINE SPECIALISTS LLC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


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
* General Practice 208D00000X
Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for GWINNETT SPINE SPECIALISTS LLC

NPI Number 1841736303
Legal business name
LBN
GWINNETT SPINE SPECIALISTS LLC
Authorized official ANGELA PIRTLE - (BILLING MANAGER)
Entity Organization
Organization subpart No
Enumeration date 01/09/2017
Last updated 01/09/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 1831215714
  • GA License #: CHIRO08008
  • GA Other: 202I013104 MEDCARE PTAN NUMBER
  • GA Other: 1043336498 NPI NUMBER

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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