NPI 1073931408

Atlanta Spine and Anesthesia

Organisation Specialist Atlanta, GA

Practice location

Address: 6105 Peachtree Dunwoody Rd Bldg B, Suite 225, Atlanta, GA 30328-5909
Phone: (770) 391-3979
Fax: (770) 391-0020
Mailing address: PO Box 1022, Alpharetta, GA 30009-1022

Authorised official

Name: Mohammed Shazad Wada
Title: M.D./Anesthesiologist
Phone: (770) 751-2623

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 063043 (GA)

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Registry record

NPI: 1073931408
Entity type: Organization
NPI issued: 2 Apr 2014
Record last updated: 31 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.