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Contact Information

ADVANCED PAIN & SPINE CENTER
246 CREEKSTONE RDG
WOODSTOCK, GA30188-3732
 Phone: 678-494-9960
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ADVANCED PAIN & SPINE CENTER

NPI Number 1891983631
LBN Legal business name ADVANCED PAIN & SPINE CENTER
Authorized official DAVID SIKANOWICZ - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2007
Last updated 10/05/2007 - About 19 years ago
Identifiers
GA License # CHIR006757
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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