Organization · NPI-2

Ortho Sport & Spine Gainesville

Clinic/Center · Gainesville, GA

NPI number1043930985
StatusActive
Last updated in NPPESAug 31, 2022

Details

NPI
1043930985
Entity type
Organization (NPI-2)
Legal business name
Ortho Sport & Spine Gainesville
Organization subpart
No
Enumeration date
Aug 31, 2022
Certification date
Aug 31, 2022
Last updated
Aug 31, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

1990 Limestone Cir
Gainesville, GA 30501-7445

Phone 678-752-7246

Mailing address

5788 Roswell Rd
Atlanta, GA 30328-4904

Phone 678-752-7246

Authorized official

Faith A Beltzhoover
Rcm Director
6787527246

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center providers in Gainesville, GA