Organization
POLARIS SPINE & NEUROSURGERY CENTER PC
Active
Organization
POLARIS SPINE & NEUROSURGERY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE HERR (CREDENTIALING SPECIALIST)
(608) 957-3025
Entity
Organization
Contact information
Practice address
1150 HAMMOND DR. BLDG E SUITE 400, ATLANTA, GA 30328
(404) 234-2753
(404) 255-6532
Mailing address
1150 HAMMOND DR. BLDG E SUITE 400, ATLANTA, GA 30328
(404) 234-2753
(404) 255-6532
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055001482A
—
GA
Enumeration date
10/20/2006
Last updated
03/03/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up