National Provider Identifier Database

AIRPORT SPINAL INJURY
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

AIRPORT SPINAL INJURY
809 NORTH CENTRAL AVE
HAPEVILLE, GA30354
Phone: 404-761-2855
Fax:
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for AIRPORT SPINAL INJURY

NPI Number 1699193987
Legal business name
LBN
AIRPORT SPINAL INJURY
Authorized official DETRICIA JOHNSON - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 04/03/2014
Last updated 04/03/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 2247

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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