| Organization Name: | PINNACLE ORTHOPAEDICS AND SPORTS MEDICINE SPECIALISTS, LLC |
| NPI Number: | 1033547799 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARCIA FEARS (DIRECTOR OF REHABILITATION) |
| Mailing Address: | 3672 Marathon Cir Suite 100 Austell |
| State: | GA US |
| Postal Code: | 301066821 |
| Phone Number: | 6789458525 |
| Fax Number: | |
| NPI Enumeration Date: | 10/16/2013 |
| NPI Last Update Date: | 10/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | PT006345 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |