Organization
WELLSTAR NEUROSURGERY SERVICES, LLC DBA WELLSTAR NEUROSURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM ROPER (MANAGED CARE REPRESENTATIVE)
(770) 792-5276
Entity
Organization
Contact information
Practice address
61 WHITCHER STREET, SUITE 3110, MARIETTA, GA 30060
(770) 422-2326
(770) 422-7797
Mailing address
61 WHITCHER STREET, SUITE 3110, MARIETTA, GA 30060
(770) 422-2326
(770) 422-7797
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
059122
GA
Other
Enumeration date
08/19/2010
Last updated
11/23/2011
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