Organization · Type 2 NPI

Legacy Brain & Spine LLC

Neurological Surgery Physician · Marietta, GA

NPI number 1407605116 Active

Practice location

718 Cherokee St NE
Marietta, GA 30060-7253

Fax (678) 290-0257

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…

3 other providers at this address

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About NPI 1407605116

Legacy Brain & Spine LLC's National Provider Identifier is 1407605116, issued on May 15, 2024. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Marietta, GA. The record was last updated on Sep 28, 2026.