OrganizationActive
Advance Spinal Care of Georgia
NPI 1962560649 · Health Maintenance Organization · Alpharetta, GA
Provider details
- NPI number
- 1962560649
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Brian Bonner, Manager(770) 475-8221
- License
- 621111 (GA)
Specialties & taxonomies
Managed Care Organizations
Practice location
11940 Alpharetta Hwy
Suite 110
Alpharetta, GA 30004-2003
Phone: (770) 475-8221
Fax: (770) 619-9606
Approximate (ZIP-level) locationGet directions
Mailing address
11940 Alpharetta Hwy
Alpharetta, GA 30004-2003
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2007-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.