Provider Demographics
NPI:1053018010
Name:BRAIN, SPINE AND JOINT ASSOCIATES, LLC
Entity type:Organization
Organization Name:BRAIN, SPINE AND JOINT ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLER TRANSLATOR MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-428-7812
Mailing Address - Street 1:4355 COBB PKWY SE STE J-109
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-4657
Mailing Address - Country:US
Mailing Address - Phone:770-740-4499
Mailing Address - Fax:770-740-4498
Practice Address - Street 1:4355 COBB PKWY SE STE J-109
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-4657
Practice Address - Country:US
Practice Address - Phone:770-740-4499
Practice Address - Fax:770-740-4498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty