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Organization

GEORGIA BRAIN & SPINE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELIAS DAGNEW M.D. (PHYSICIAN/PRESIDENT)
(678) 938-8459
Entity
Organization

Contact information

Practice address
9635 VENTANA WAY STE 201, JOHNS CREEK, GA 30022-8622
(404) 446-4424
(404) 446-4424
Mailing address
11877 DOUGLAS RD, SUITE 102272, ALPHARETTA, GA 30005-4325
(678) 938-8459

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
054606
GA

Other

Enumeration date
07/15/2009
Last updated
12/19/2019
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