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Contact Information

ATLANTA SPORTS AND SPINE LLC
2340 PATRICK HENRY PKWY
150
MCDONOUGH, GA30253-4325
 Phone: 678-866-3646
 Fax: 678-804-6862
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Electrodiagnostic Medicine

204R00000X
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ATLANTA SPORTS AND SPINE LLC

NPI Number 1720439136
LBN Legal business name ATLANTA SPORTS AND SPINE LLC
Authorized official AMRISH PATEL - (CEO/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/27/2016
Last updated 05/11/2018 - About 8 years ago
Identifiers
GA License # 067950
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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