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GEORGIA SPINE & NEUROSURGERY CENTER LLC NPI 1972627396


NPI Information

NPI: 1972627396
Provider Name: GEORGIA SPINE & NEUROSURGERY CENTER, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
2675 N DECATUR RD
SUITE 710
DECATUR, GA
ZIP 30033
Phone: (404) 299-3338
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GEORGIA SPINE & NEUROSURGERY CENTER, LLC is a customized equipment durable medical equipment medical supplies in Decatur, GA. GEORGIA SPINE & NEUROSURGERY CENTER, LLC NPI is 1972627396. The provider is registered as an organization entity type.

The provider's business location address is:

2675 N DECATUR RD
SUITE 710
DECATUR, GA
ZIP 30033-131
Phone: (404) 299-3338
Fax: (404) 299-3315

The provider's authorized official is Kaveh Khajavi .
The authorized official title is President and has the following contact phone number (404) 299-3338.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 6/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment51201GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14918650001MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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