WEST AUGUSTA SPINE SPECIALISTS NPI 1306907381

NPI Information

  • NPI: 1306907381
  • Provider Name: WEST AUGUSTA SPINE SPECIALISTS
  • Classification: Neurological Surgery - 207T00000X
  • Entity Type: Organization
  • Address: 1215 GEORGE C WILSON DR
    SUITE B-3
    AUGUSTA, GA
    ZIP 30909
  • Phone: (706) 922-4450

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NPI Details

WEST AUGUSTA SPINE SPECIALISTS is a neurological surgery in Augusta, GA. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. WEST AUGUSTA SPINE SPECIALISTS NPI is 1306907381. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1215 GEORGE C WILSON DR
SUITE B-3
AUGUSTA, GA
ZIP 30909-700
Phone: (706) 922-4450
Fax: (706) 922-4453

The provider's authorized official is Ildemaro J Volcan .
The authorized official title is Owner and has the following contact phone number (706) 922-4450.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207T00000XNeurological Surgery017959GEORGIAYes

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This page was last updated on: 3/30/2025

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