Southside Orthopedic Center Aka Spine & Orthopedic Centre
LBN: Spine & Orthopedic Center
Southside Orthopedic Center Aka Spine & Orthopedic Centre is an health care organization with primary practice located at 1287 Hwy 138 Spur #8, Jonesboro GA 30236. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
Spine & Orthopedic Center can be contacted via phone (770) 473-0038, or through Sood, Pran N via phone (770) 473-0038.
Contact Information
Primary practice address
1287 Hwy 138 Spur #8
Jonesboro GA 30236
Phone: (770) 473-0038
Fax: (770) 471-4290
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 021593 | Georgia |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 021593 | Georgia |
Profile Details
| NPI number | 1871553297 |
|---|---|
| LBN Legal business name | Spine & Orthopedic Center |
| DBA Doing business as | Southside Orthopedic Center Aka Spine & Orthopedic Centre |
| Authorized official | Sood, Pran N Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Dec 10th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871553297 | NPPES |
| Georgia | Other | 157600900 | DEPT OF LABOR |
| Georgia | Other | 303578 | DEPT OF LABOR |
| Georgia | Other | 495745 | DEPT OF LABOR |
| Georgia | Other | P0908912 | DEPT OF LABOR |
| Georgia | MEDICAID | 000200934C | DEPT OF LABOR |
| Georgia | Other | 200020230 | DEPT OF LABOR |
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