Whalio Doctors

NPI 1821242785

East-West Spine and Rehab Clinic INC.

Organisation Point of Service Smyrna, GA

Practice location

Address
1385 Highlands Ridge Rd SE Suite C, Smyrna, GA 30082-4893
Phone
(770) 432-5600
Fax
(770) 432-5602
Mailing address
1385 Highlands Ridge Rd SE STE C, Smyrna, GA 30082-4894

Authorised official

Name
Ararat Mushegan Leguizamon
Title
Ceo/President
Phone
(770) 656-0203

Registered specialties

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X Licence CHIR008391 (GA)

Registry record

NPI
1821242785
Entity type
Organization
NPI issued
5 Nov 2008
Record last updated
25 Feb 2009

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.