institution
Legacy Brain & Spine Llc
Neurological Surgery Physician in Marietta, Georgia
NPI 1033632419

Legacy Brain & Spine Llc is a Neurological Surgery Physician based in Atlanta, GA. Legacy Brain & Spine Llc practices in Marietta, GA. The NPI Number for Legacy Brain & Spine Llc is 1033632419 and holds a License No. 60369 (Georgia).

The current practice location address for Legacy Brain & Spine Llc is 718 Cherokee St Ne, Marietta, GA and can be reached out via phone at 770-291-8987 and via fax at 770-291-8987. You can also correspond with Legacy Brain & Spine Llc through the mailing address at 1900 THE EXCHANGE SE STE 200, ATLANTA, GA - 30339-2022 (mailing address contact number: 770-291-8987).

Location: 718 Cherokee St Ne, Marietta, GA, 30339-2022
institution
Provider Profile Details
NPI Number
1033632419
Provider Name
Legacy Brain & Spine Llc
Credential
Provider Entity Type
Organization
Address
718 Cherokee St Ne, Marietta, GA, 30339-2022
Phone Number
770-291-8987
Fax Number
770-291-8987
Provider Enumeration Date
07/18/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
I58731 01 GA MEDICARE
institution
Provider Business Practice Location Address Details
Address
718 Cherokee St Ne
City
State
Zip
30060-7253
Phone Number
770-291-8987
Fax Number
770-291-8987
person
Provider Business Mailing Address Details
Address
1900 The Exchange Se Ste 200
City
State
Zip
30339-2022
Phone Number
770-291-8987
Fax Number
770-291-8987
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
License No.
60369 (Georgia)
Definition
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.
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