Organization
ATLANTIC BRAIN AND SPINE, P.A.
Active
Other names
Atlantic Neurosurgical and Spine Specialist, P.A
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDY ANDERSON (OFFICE MANAGER)
(910) 763-3333
Entity
Organization
Contact information
Practice address
2208 S 17TH ST, SUITE 201, WILMINGTON, NC 28401-7515
(910) 763-3333
(910) 763-3336
Mailing address
2208 S. 7TH STREET, SUITE 201, WILMINGTON, NC 28401-7593
(910) 763-3333
(910) 763-3336
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014U2
BCBS
NC
05
—
89014U2
—
NC
Enumeration date
04/17/2006
Last updated
12/16/2021
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