Organization · Type 2 NPI

Legacy Brain & Spine LLC

Neurological Surgery Physician · Tucker, GA

NPI number 1245070879 Active

Practice location

1918 Northlake Pkwy Ste 101
Tucker, GA 30084-7070

Mailing address

1900 The Exchange SE Ste 200
Atlanta, GA 30339-2022

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed

Neurological Surgery Physician: 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 opera…

About NPI 1245070879

Legacy Brain & Spine LLC's National Provider Identifier is 1245070879, issued on May 30, 2024. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Tucker, GA. The record was last updated on May 30, 2024.