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BUCKHEAD SPORTS MEDICINE AND SPINE CENTER NPI 1932236684


NPI Information

NPI: 1932236684
Provider Name: BUCKHEAD SPORTS MEDICINE AND SPINE CENTER

Doing Business As: MIDTOWN SPORTS MEDICINE

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
285 BOULEVARD NE STE 310
ATLANTA, GA
ZIP 30312
Phone: (404) 522-5828
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BUCKHEAD SPORTS MEDICINE AND SPINE CENTER is a specialist in Atlanta, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BUCKHEAD SPORTS MEDICINE AND SPINE CENTER NPI is 1932236684. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Midtown Sports Medicine.

The provider's business location address is:

285 BOULEVARD NE STE 310
ATLANTA, GA
ZIP 30312-209
Phone: (404) 522-5828
Fax: (404) 222-2322

The provider's authorized official is Eric Scott Furie .
The authorized official title is President and has the following contact phone number (404) 522-5828.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 11/19/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist043942GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000938781AMEDICAIDGEORGIA
2GRP4609MEDICARE PINGEORGIA
3G2772MEDICARE UPINGEORGIA
46263010001MEDICARE NSCGEORGIA

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: 4/28/2024

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