Legacy Brain & Spine LLC

NPI #1528808193 in Carrollton, Georgia

Provider Information

NPI Number: 1528808193
Entity Type: Organization
Organization Name: Legacy Brain & Spine LLC
Primary Specialty: Neurological Surgery
Enumeration Date: May 30, 2024
Last Updated: May 30, 2024

Practice Location

Address: 100 PROFESSIONAL PL STE 107A
City: Carrollton
State: Georgia
ZIP Code: 30117-3827
Phone: (770) 291-8987

Authorized Official

Name: SAID ELSHIHABI
Title: OWNER
Phone: (770) 291-8987

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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