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General NPI Number Information
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NPI Number | 1578076030
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Entity Type | Organization
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Legal Business Name | NEUROSURGERY ATLANTA, LLC
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 11/07/2017
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Provider Practice Location Address
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Address Line | 1700 TREE LN STE 470
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City | SNELLVILLE
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State | GA
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Zip | 30078-6756
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Country | US
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Telephone | 770-809-3291
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 HEALTH PARK DR
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City | BRENTWOOD
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State | TN
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Zip | 37027-4525
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Country | US
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Telephone | 615-372-5426
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. DANIEL SYKES
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Credential |
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Telephone | 615-342-6878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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