Organization
ALBANY NEUROSURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PICKETT (VP)
(678) 762-5037
Entity
Organization
Contact information
Practice address
1909 ABERDEEN RD, SUITE 106, ALBANY, GA 31701-1393
(229) 432-8450
(229) 432-8451
Mailing address
1909 ABERDEEN RD, SUITE 106, ALBANY, GA 31701-1393
(229) 432-8450
(229) 432-8451
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF3566
RAILROAD MEDICARE
GA
Enumeration date
05/23/2006
Last updated
04/20/2008
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