Organization
PREIMER NEUROSURGICAL INSTITUTE
Active
Organization
PREIMER NEUROSURGICAL INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERNON E SPELLMAN SR. (OPERATIONS MANAGER)
(404) 441-5987
Entity
Organization
Contact information
Practice address
4350 FREYS FARM LN NW, KENNESAW, GA 30152-7323
(404) 441-5987
Mailing address
4350 FREYS FARM LN NW, KENNESAW, GA 30152-7323
(404) 441-5987
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
003649
GA
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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