Provider Demographics
NPI:1700181237
Name:ALPHA SPINE CENTER, INC.
Entity Type:Organization
Organization Name:ALPHA SPINE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SALMINEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-777-2377
Mailing Address - Street 1:12220 BIRMINGHAM HWY
Mailing Address - Street 2:SUITE 40
Mailing Address - City:MILTON
Mailing Address - State:GA
Mailing Address - Zip Code:30004-4186
Mailing Address - Country:US
Mailing Address - Phone:770-777-2377
Mailing Address - Fax:
Practice Address - Street 1:12220 BIRMINGHAM HWY
Practice Address - Street 2:SUITE 40
Practice Address - City:MILTON
Practice Address - State:GA
Practice Address - Zip Code:30004-4186
Practice Address - Country:US
Practice Address - Phone:770-777-2377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-13
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006361111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty