Organization
ADVANCED NEUROSURGERY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE HERNANDEZ (CCO)
(404) 851-8000
Entity
Organization
Contact information
Practice address
631 PROFESSIONAL DR STE 360, LAWRENCEVILLE, GA 30046-3370
(404) 851-8000
Mailing address
1000 JOHNSON FERRY ROAD, ATTN: JORGE HERNANDEZ, ATLANTA, GA 30342-1611
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
06/02/2025
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