Organization · Type 2 NPI
Innovativemdgroup
Orthopaedic Surgery of the Spine Physician · Smyrna, GA
Practice location
3903 South Cobb, Suite 105
Smyrna, GA 30080-6370
Fax (770) 438-1477
Mailing address
3390 Peachtree Rd NE, Suite 450
Atlanta, GA 30326-1157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery of the Spine Physician Primary | 207XS0117X | 052966 (GA) |
| Pain Medicine Physician | 208VP0000X | 065573 (GA) |
Orthopaedic Surgery of the Spine Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
About NPI 1609155357
Innovativemdgroup's National Provider Identifier is 1609155357, issued on Aug 12, 2011. The primary taxonomy on file is Orthopaedic Surgery of the Spine Physician (207XS0117X), and the practice location is in Smyrna, GA. The record was last updated on Sep 23, 2011.