Provider Demographics
NPI:1013376573
Name:ALIG ORTHOPEDICS LLC
Entity Type:Organization
Organization Name:ALIG ORTHOPEDICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIG
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:770-985-9330
Mailing Address - Street 1:2400 WISTERIA DR STE 200
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-2689
Mailing Address - Country:US
Mailing Address - Phone:770-985-9330
Mailing Address - Fax:770-982-8881
Practice Address - Street 1:2400 WISTERIA DR STE 200
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-2689
Practice Address - Country:US
Practice Address - Phone:770-985-9330
Practice Address - Fax:770-982-8881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-12
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6682363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty