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Organization

N GA NEUROSURGICAL ASSOC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES O WOOD MD (PRESIDENT)
(770) 962-0758
Entity
Organization

Contact information

Practice address
500 MEDICAL CENTER BLVD, SUITE 390, LAWRENCEVILLE, GA 30045-8708
(770) 962-0758
(770) 822-4559
Mailing address
500 MEDICAL CENTER BLVD, SUITE 390, LAWRENCEVILLE, GA 30045-8708
(770) 962-0758
(770) 822-4559

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
027263
GA

Other

Enumeration date
10/04/2007
Last updated
02/19/2008
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