Organization
ADVANCED NEUROSPINE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIAS DAGNEW MD FAANS (PRESIDENT)
(404) 446-4424
Entity
Organization
Contact information
Practice address
9635 VENTANA WAY, SUITE 202, JOHNS CREEK, GA 30022-8620
(404) 446-4424
(404) 446-4420
Mailing address
9635 VENTANA WAY, SUITE 202, JOHNS CREEK, GA 30022-8620
(404) 446-4424
(404) 446-4420
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ME96941
GA
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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