NPI 1932549540
Conservative Spine & Joint Center, LLC
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
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Spinal Cord Injury Medicine Physician
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Pain Medicine Physician
Interventional Pain Medicine Physician
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.