SOUTH DEKALB SPINAL CENTER, LLC
NPI 1033475140
Clinic/Center - Pain in Decatur, GA

Active since April 03, 2012
4480 COVINGTON HWY, SUITE A, DECATUR, GA 30035(404) 284-5556(404) 284-5557 Get Directions Write a Review

NPPES record last updated: April 3, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Pain

About SOUTH DEKALB SPINAL CENTER, LLC

This page provides the complete NPI Profile along with additional information for South Dekalb Spinal Center, Llc, a provider established in Decatur, Georgia operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1033475140 assigned on April 2012. The practitioner's primary taxonomy code is 261QP3300X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Maria Parga (Office Manager)

NPI
1033475140 Verify this NPI
Provider Name
SOUTH DEKALB SPINAL CENTER, LLC
Entity Type
Organization
Location Address
4480 COVINGTON HWY SUITE A DECATUR, GA 30035
Location Phone
(404) 284-5556
Location Fax
(404) 284-5557
Mailing Address
4480 COVINGTON HWY SUITE A DECATUR, GA 30035
Mailing Phone
(404) 284-5556
Mailing Fax
(404) 284-5557
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-03-2012
Last Update Date
04-03-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Pain

Taxonomy Code
261QP3300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARIA PARGA

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(404) 284-5556

Reviews for SOUTH DEKALB SPINAL CENTER, LLC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Family Medicine
4480 COVINGTON HWY, SUITE B
DECATUR, GA 30035
Clinic/Center (Primary Care)
4480 COVINGTON HWY, SUITE B
DECATUR, GA 30035

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033475140, enumerated as an "organization" on April 03, 2012.

The provider is located at 4480 COVINGTON HWY SUITE A DECATUR, GA 30035 and the phone number is (404) 284-5556.

Clinic/Center with taxonomy code 261QP3300X and a focus in Pain.