Whalio Doctors

NPI 1932549540

Conservative Spine & Joint Center, LLC

Organisation Physical Medicine & Rehabilitation Physician Lawrenceville, GA

Practice location

Address
720 Old Snellville Hwy Suite150, Lawrenceville, GA 30044-6216
Phone
(770) 601-4340
Fax
(770) 978-1324
Mailing address
516 Sosebee Farm Rd Unit 159, Grayson, GA 30017-0103

Authorised official

Name
Ruben Diaz
Title
Owner/Director
Phone
(678) 232-0109

Registered specialties (7)

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Allopathic & Osteopathic Physicians Taxonomy 2081N0008X
Spinal Cord Injury Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 2081P0004X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Allopathic & Osteopathic Physicians Taxonomy 2081P2900X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Allopathic & Osteopathic Physicians Taxonomy 2081S0010X
Pain Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 208VP0000X
Interventional Pain Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Registry record

NPI
1932549540
Entity type
Organization
NPI issued
27 Jun 2013
Record last updated
24 Sep 2019

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.