Organization
GWINNETT NEUROSURGICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN L ANDERSON (MANAGER OF PATIENT ACCOUNTS)
(770) 995-5333
Entity
Organization
Contact information
Practice address
753 OLD NORCROSS RD, SUITE A, LAWRENCEVILLE, GA 30045-4312
(770) 995-5333
(770) 995-5322
Mailing address
753 OLD NORCROSS RD, SUITE A, LAWRENCEVILLE, GA 30045-4312
(770) 995-5333
(770) 995-5322
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
GA
Other
Enumeration date
03/12/2007
Last updated
08/22/2020
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