Organization
SOUTHERN NEUROSURGERY LLC
Active
Organization
SOUTHERN NEUROSURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETSY H GRUNCH MD (MD/OWNER)
(470) 293-9800
Entity
Organization
Contact information
Practice address
601 BROAD ST SE STE A, GAINESVILLE, GA 30501-3718
(470) 293-9800
(844) 689-4542
Mailing address
601 BROAD ST SE STE A, GAINESVILLE, GA 30501-3718
(470) 293-9800
(844) 689-4542
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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