Provider Demographics
NPI:1801007992
Name:SANDY SPRINGS MEDICAL CENTER, LLC
Entity Type:Organization
Organization Name:SANDY SPRINGS MEDICAL CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOBEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:866-302-2669
Mailing Address - Street 1:218 JOHNSON FERRY RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-3820
Mailing Address - Country:US
Mailing Address - Phone:866-302-2669
Mailing Address - Fax:
Practice Address - Street 1:11877 DOUGLAS RD
Practice Address - Street 2:SUITE 102-271
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-4325
Practice Address - Country:US
Practice Address - Phone:866-302-2669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA054590208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty