Georgia Spine & Neurosurgery Center Llc
LBN: Georgia Spine & Neurosurgery Center Llc
Georgia Spine & Neurosurgery Center Llc is an health care organization with primary practice located at 2675 N Decatur Rd Suite 110, Decatur GA 30033-6131. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Suppliers / Customized Equipment. Allopathic & Osteopathic Physicians / Neurological Surgery is the primary health care specialty.
Georgia Spine & Neurosurgery Center Llc can be contacted via phone (404) 299-3338, or through Khajavi, Kaveh via phone (404) 299-3338.
Contact Information
Primary practice address
2675 N Decatur Rd Suite 110
Decatur GA 30033-6131
Phone: (404) 299-3338
Fax: (404) 299-3315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 51201 | Georgia |
| Suppliers / Customized Equipment | 332BC3200X | 51201 | Georgia |
Profile Details
| NPI number | 1760684609 |
|---|---|
| LBN Legal business name | Georgia Spine & Neurosurgery Center Llc |
| DBA Doing business as | |
| Authorized official | Khajavi, Kaveh Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 4th, 2007 |
| Last updated | Feb 7th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760684609 | NPPES |
| Other | 1487610275 | KHAJAVI NPI | |
| Other | 1306807094 | KHAJAVI NPI | |
| Other | 1093771891 | KHAJAVI NPI | |
| Other | 1972627396 | KHAJAVI NPI | |
| MEDICAID | 00944358B | KHAJAVI NPI | |
| MEDICAID | 931766736A | KHAJAVI NPI |
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