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Contact Information

NEUROSPINE ATLANTA, LLC.
3515 BRASELTON HWY
SUITE E-2
DACULA, GA30019
 Phone: 770-614-6630
 Fax: 770-614-6684
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for NEUROSPINE ATLANTA, LLC.

NPI # 1467134882
LBN Legal business name NEUROSPINE ATLANTA, LLC.
Authorized official DANA PICCIRILLO - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/04/2023
Last updated 08/04/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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