SOUTH DEKALB SPINAL CENTER LLC NPI 1033475140

NPI Information

SOUTH DEKALB SPINAL CENTER, LLC is a pain clinic center in Decatur, GA. SOUTH DEKALB SPINAL CENTER, LLC NPI is 1033475140. The provider is registered as an organization entity type.

The provider's business location address is:

4480 COVINGTON HWY
SUITE A
DECATUR, GA
ZIP 30035-218
Phone: (404) 284-5556
Fax: (404) 284-5557

The provider's authorized official is Maria Parga .
The authorized official title is Office Manager and has the following contact phone number (404) 284-5556.

The enumeration date for this NPI number is 4/3/2012 and was last updated on 4/3/2012.

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:

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