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SPORTS AND SPINE INSTITUTE NPI 1245689777


NPI Information

NPI: 1245689777
Provider Name: SPORTS AND SPINE INSTITUTE
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
2340 PATRICK HENRY PKWY
150
MCDONOUGH, GA
ZIP 30253
Phone: (678) 866-3646
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SPORTS AND SPINE INSTITUTE is a pain medicine physical medicine rehabilitation in Mcdonough, GA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. SPORTS AND SPINE INSTITUTE NPI is 1245689777. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2340 PATRICK HENRY PKWY
150
MCDONOUGH, GA
ZIP 30253-325
Phone: (678) 866-3646
Fax: (678) 804-6862

The provider's authorized official is Amrish Dinubhai Patel .
The authorized official title is Md/president and has the following contact phone number (706) 580-3607.

The enumeration date for this NPI number is 6/6/2016 and was last updated on 6/6/2016.


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
12081S0010XPhysical Medicine & RehabilitationSports Medicine067950GEORGIANo
22081P2900XPhysical Medicine & RehabilitationPain Medicine067950GEORGIAYes

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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