Provider Demographics
NPI:1992331581
Name:WORLD SPINE AND ORTHOPEDICS LLC
Entity type:Organization
Organization Name:WORLD SPINE AND ORTHOPEDICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HENAKU
Authorized Official - Middle Name:KWADWO
Authorized Official - Last Name:YIRENKYI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-297-8318
Mailing Address - Street 1:3440 BURDETT CT
Mailing Address - Street 2:
Mailing Address - City:AVONDALE ESTATES
Mailing Address - State:GA
Mailing Address - Zip Code:30002-1783
Mailing Address - Country:US
Mailing Address - Phone:513-297-8318
Mailing Address - Fax:
Practice Address - Street 1:4296 MEMORIAL DR STE C
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-1227
Practice Address - Country:US
Practice Address - Phone:513-297-8318
Practice Address - Fax:949-577-4602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-16
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty