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General NPI Number Information
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NPI Number | 1952581068
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Entity Type | Organization
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Legal Business Name | METRO ATLANTA NEUROSURGERY, PC
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 285 BOULEVARD NE SUITE 635
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City | ATLANTA
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State | GA
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Zip | 30312-4205
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Country | US
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Telephone | 404-265-3304
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Fax | 404-265-3305
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Provider Business Mailing Address
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Address Line | 285 BOULEVARD NE SUITE 635
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City | ATLANTA
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State | GA
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Zip | 30312-4205
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Country | US
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Telephone | 404-265-3304
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Fax | 404-265-3305
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. PAUL KEVIN KING
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Credential | M.D.
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Telephone | 404-265-3304
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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 | 36198
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License Number State | GA
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