Spinal Bracing, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SPINAL BRACING, INC

Practice address

300 Village Green Cir SE
Ste 201
Smyrna, GA 30080-3476

Phone

(770) 384-1634

Fax

(770) 438-6172

NPI assigned

Nov 25, 2009

Last updated

Nov 25, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William C Koenig

Title

President

Phone

(770) 384-1634

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cordia Yvette Smith, LCSW

  • Clinical Social Worker
  • Smyrna, GA
  • NPI 1972735314
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1073841326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 VILLAGE GREEN CIR SE",
            "address_2": "STE 201",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803476",
            "telephone_number": "770-384-1634",
            "fax_number": "770-438-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 VILLAGE GREEN CIR SE",
            "address_2": "STE 201",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803476",
            "telephone_number": "770-384-1634",
            "fax_number": "770-438-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL BRACING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-384-1634"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.