MEDICARE: ATLANTA NEUROSURGICAL ASSOCIATES, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician

General Provider Information

NPI Number	:	1164503132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTA NEUROSURGICAL ASSOCIATES, P.A.

Provider Business Mailing Address
First Line	:	2785 LAWRENCEVILLE HWY
Second Line	:	SUITE 100
City	:	DECATUR
State	:	GA
Zip	:	30033-2515
Country	:	US
Telephone Number	:	404-292-4612
Fax Number	:	678-514-0088

Provider Business Practice Location Address
First Line	:	2785 LAWRENCEVILLE HWY
Second Line	:	SUITE 100
City	:	DECATUR
State	:	GA
Zip	:	30033-2515
Country	:	US
Telephone Number	:	404-292-4612
Fax Number	:	678-514-0088

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MICHAEL G HARTMAN
Credential	:	MD
Telephone Number	:	404-292-4612

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	02/25/2010

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