Georgia Brain and Spine LLC

NPI #1629519343 in Decatur, Georgia

Provider Information

NPI Number: 1629519343
Entity Type: Organization
Organization Name: Georgia Brain and Spine LLC
Primary Specialty: Specialist
Enumeration Date: Mar 14, 2017
Last Updated: Mar 14, 2017

Practice Location

Address: 2107 N DECATUR RD
Address 2: UNIT 448
City: Decatur
State: Georgia
ZIP Code: 30033-5305
Phone: (404) 418-0192

Authorized Official

Name: DR. AMOS O DARE, M.D.
Title: MEDICAL DIRECTOR
Phone: (404) 418-0192

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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