Organization
ATLANTIC BRAIN AND SPINE SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN L BLACK (OFFICE MANAGER)
(703) 876-4270
Entity
Organization
Contact information
Practice address
1850 TOWN CENTER PKWY STE 559, RESTON, VA 20190-3300
(703) 876-4270
(703) 876-4276
Mailing address
1850 TOWNCENTER PKWY PAV 2 SUITE#559, RESTON, VA 20190-3204
(703) 876-4270
(703) 876-4276
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0110002433
VA
Other
Enumeration date
03/01/2011
Last updated
07/21/2020
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