The Injury Wellness Surgical and Procedure Institute LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

THE INJURY WELLNESS SURGICAL AND PROCEDURE INSTITUTE LLC

Practice address

2483 Powder Springs Rd SW
Ste C
Marietta, GA 30064-4573

Phone

(770) 439-7575

Fax

(770) 439-7550

NPI assigned

Jan 18, 2012

Last updated

Jan 18, 2012By 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

Lionel Terry Johnson

Title

Coo

Phone

(770) 439-7575

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1922379304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2483 POWDER SPRINGS RD SW",
            "address_2": "STE C",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644573",
            "telephone_number": "770-439-7575",
            "fax_number": "770-439-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2483 POWDER SPRINGS RD SW",
            "address_2": "STE C",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644573",
            "telephone_number": "770-439-7575",
            "fax_number": "770-439-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INJURY WELLNESS SURGICAL AND PROCEDURE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LIONEL",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "770-439-7575"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Marietta, GA
• Providers in Marietta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.