NPI Registry.org

Fx Spine And Performance Center, Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
FX SPINE AND PERFORMANCE CENTER, LLC15589706402020-07-24
Entity TypeOrganization
Provider OrganizationFX SPINE AND PERFORMANCE CENTER, LLC
Practice Office Address106 SRP DR STE B
EVANS, GA US
Practice Office Telephone7068426800
Practice Office Fax7068426780
Mailing Address824 KESTREL DR
EVANS, GA 308090328 US
Business Telephone7175575926
Authorized OfficialNICHOLAS ALLAN DEANGELO, PRESIDENT
7175575926
HPT Codes
CodeLicense NoState
261QP3300X
207LP2900X PRIMARY
193400000X SINGGroup Code
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

© 2020 NPIRegistry.org | Contact | Privacy Policy
45 CFR Part 162