South Atlanta Neurosurgery in Stockbridge - Specialist
South Atlanta Neurosurgery - NPI 1366621237
South Atlanta Neurosurgery is a Specialist in Stockbridge, Georgia. South Atlanta Neurosurgery practices all healthcare services and medical treatments related to Specialist. The NPI Number for South Atlanta Neurosurgery is 1366621237. The last update date is 2013-08-19.
South Atlanta Neurosurgery's current location address is 900 Eagles Landing Pkwy, Stockbridge, Georgia. You can contact this provider via phone number 7709970600. The mailing address for South Atlanta Neurosurgery is 900 Eagles Landing Pkwy, Stockbridge, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Atlanta Neurosurgery |
|---|---|
| Address | 900 Eagles Landing Pkwy, Stockbridge, Georgia |
| Phone Number | 7709970600 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Rezaiamiri Shahram |
| Credentials | M.D. |
| Telephone Number | 7709970600 |
NPI Number Detail
| NPI Number | 1366621237 |
|---|---|
| Provider Enumeration Date | 2007-10-29 |
| Last Updated Date | 2013-08-19 |
Provider Mailing Address Detail
| Address | 900 Eagles Landing Pkwy |
|---|---|
| City | Stockbridge |
| State | Georgia (GA) |
| Post Code | 302817343 |
| Phone Number | 7709970600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 49939 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique identifier code issued to South Atlanta Neurosurgery by the Centers for Medicare & Medicaid Services (CMS)?
The South Atlanta Neurosurgery has been assigned the NPI (National Provider Identifier) 1366621237. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of South Atlanta Neurosurgery?
The South Atlanta Neurosurgery is situated at 900 Eagles Landing Pkwy, in the city of Stockbridge, state of GA, with the zip code 302817343.
What is the South Atlanta Neurosurgery's specialty and taxonomy code?
The South Atlanta Neurosurgery's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the South Atlanta Neurosurgery receive the assignment of its 1366621237 from the Centers for Medicare & Medicaid Services?
The South Atlanta Neurosurgery was issued its 1366621237 by the Centers for Medicare & Medicaid Services on 2007-10-29.
As of what date were the details pertaining to South Atlanta Neurosurgery last refreshed?
The information related to the South Atlanta Neurosurgery, including its address, specialty, and other relevant details, was last updated on 2013-08-19.