Atlantic Advanced Branded Center, LLC.
Pain Medicine, Interventional Pain Medicine in Suwanee, GA. Organization (NPI-2).
NPI number1023651312
StatusActive
Last updated in NPPESMar 10, 2023
Details
- NPI
- 1023651312
- Entity type
- Organization (NPI-2)
- Legal business name
- Atlantic Advanced Branded Center, LLC.
- Organization subpart
- No
- Enumeration date
- Oct 20, 2019
- Certification date
- Mar 10, 2023
- Last updated
- Mar 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
| 2251N0400X | Physical Therapist, Neurology | – | – | |
| 2084A0401X | Psychiatry & Neurology, Addiction Medicine | – | – | |
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | |
| 2084N0600X | – | – | ||
| 2084P2900X | Psychiatry & Neurology, Pain Medicine | – | – | |
| 2084S0010X | Psychiatry & Neurology, Sports Medicine | – | – |
Other names
- Atlantic Advanced Spine & Neurology Institute (Doing Business As)
Practice location
3925 Johns Creek Ct Ste C2Suwanee, GA 30024-6618
Phone 470-268-6980 · Fax 888-815-1765
Mailing address
3651 Peachtree Pkwy Ste E-313Suwanee, GA 30024-6009
Phone 470-268-6980 · Fax 888-815-1765
Other practice locations
426 Exchange Blvd, Ste 300
Bethlehem, GA 30620-3002
Bethlehem, GA 30620-3002
Phone 770-298-2467 · Fax 888-815-1765
6325 Hospital Pkwy,
Johns Creek, GA 30097
Johns Creek, GA 30097
Phone 770-298-2467 · Fax 888-815-1765
Authorized official
Kewei Yu
President
4702686980
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