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Organization

NOVA BRAIN AND SPINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERRY LEE WALTERS II MD (PHYSICIAN/OWNER)
(601) 842-1054
Entity
Organization

Contact information

Practice address
700 MANASSAS ST STE 300, HAMPTON, GA 30228-5906
(770) 515-8770
(404) 891-8323
Mailing address
700 MANASSAS ST STE 300, HAMPTON, GA 30228-5906
(770) 515-8770
(404) 891-8323

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
11/11/2025
Last updated
04/23/2026
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