Spine Centers of Georgia, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

036000 Issued in GA

Legal business name

SPINE CENTERS OF GEORGIA, LLC

Practice address

11877 Douglas Rd
Suite 102-271
Alpharetta, GA 30005-4325

Phone

(866) 592-9432

Fax

(866) 689-0005

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Offer Danan, DC

Title

President

Phone

(866) 592-9432

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1710198809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11877 DOUGLAS RD",
            "address_2": "SUITE 102-271",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054325",
            "telephone_number": "866-592-9432",
            "fax_number": "866-689-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11877 DOUGLAS RD",
            "address_2": "SUITE 102-271",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054325",
            "telephone_number": "866-592-9432",
            "fax_number": "866-689-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE CENTERS OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "DANAN",
        "authorized_official_first_name": "OFFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-592-9432",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "036000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Andrew Spencer, BCBA
• Jamaal L Spencer, PTA
• Danielle Lauren Spera
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• Bridget Anne Spicer, LPC
• Susan R Spitzler, MD
• Sports Chiropractic Center Inc
• Spotlight Dental Alpharetta
• Leigh Anne Spraetz, LPC
• Kelley Dyanne Sproles, LMFT

• Interventional Pain Medicine Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.