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VININGS SPINE & HEALTH CENTER LLC NPI 1225462369


NPI Information

NPI: 1225462369
Provider Name: VININGS SPINE & HEALTH CENTER, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1675 CUMBERLAND PKWY SE
SUITE 205
SMYRNA, GA
ZIP 30080
Phone: (770) 955-9355
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VININGS SPINE & HEALTH CENTER, LLC is a general practice in Smyrna, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee VININGS SPINE & HEALTH CENTER, LLC NPI is 1225462369. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1675 CUMBERLAND PKWY SE
SUITE 205
SMYRNA, GA
ZIP 30080-359
Phone: (770) 955-9355
Fax: (877) 722-1023

The provider's authorized official is Raymond Easley .
The authorized official title is Medical Director and has the following contact phone number (770) 955-9355.

The enumeration date for this NPI number is 8/26/2013 and was last updated on 11/5/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice66224GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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