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Georgia Brain And Spine Llc
Specialist in Decatur, Georgia
NPI 1629519343

Georgia Brain And Spine Llc is a Specialist based in Decatur, GA. Georgia Brain And Spine Llc practices in Decatur, GA. The NPI Number for Georgia Brain And Spine Llc is 1629519343 and holds a License No. 64353 (Georgia).

The current practice location address for Georgia Brain And Spine Llc is 2107 N Decatur Rd, Decatur, GA and can be reached out via phone at 404-418-0192 and via fax at 844-360-9946.

Location: 2107 N Decatur Rd, Decatur, GA, 30033-5305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629519343
Provider Name
Georgia Brain And Spine Llc
Credential
Provider Entity Type
Organization
Address
2107 N Decatur Rd, Decatur, GA, 30033-5305
Phone Number
404-418-0192
Fax Number
844-360-9946
Provider Enumeration Date
03/14/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64353 01 GA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2107 N Decatur Rd
City
Decatur
State
Georgia
Zip
30033-5305
Phone Number
404-418-0192
Fax Number
844-360-9946
person
Provider Business Mailing Address Details
Address
2107 N Decatur Rd
City
Decatur
State
Georgia
Zip
30033-5305
Phone Number
404-418-0192
Fax Number
844-360-9946
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
64353 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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