| NPI | 1720439136 |
|---|---|
| Doing Business As | SPORTS AND SPINE INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | AMRISH DINUBHAI PATEL CEO/Owner 706-580-3607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: GA 067950) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: GA 067950) |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: GA 067950) | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2018-05-11 |