Georgia Spine And Brain, Pc

LBN: Georgia Spine And Brain, Pc
Georgia Spine And Brain, Pc is an health care organization with primary practice located at 1676 Mulkey Rd Suite A, Austell GA 30106-1170. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Georgia Spine And Brain, Pc can be contacted via phone (678) 838-6600, or through Jimenez, Omar via phone (678) 838-6600.

Contact Information

Primary practice address
1676 Mulkey Rd Suite A Austell GA 30106-1170
Phone: (678) 838-6600
Fax: (678) 838-6602
Website:
Map and Directions
Authorized official contact:
Name: Jimenez, Omar Doctor of Medicine (MD)
Phone: (678) 838-6600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X

Profile Details

NPI number 1306876198
LBN Legal business name Georgia Spine And Brain, Pc
DBA Doing business as
Authorized official Jimenez, Omar Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306876198 NPPES
Georgia Other GRP4690 MEDICARE GRP ID

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