Organization
METRO ATLANTA NEUROSURGERY, PC
Active
Organization
METRO ATLANTA NEUROSURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL KEVIN KING M.D. (PRESIDENT/CEO)
(404) 265-3304
Entity
Organization
Contact information
Practice address
285 BOULEVARD NE, SUITE 635, ATLANTA, GA 30312-4205
(404) 265-3304
(404) 265-3305
Mailing address
285 BOULEVARD NE, SUITE 635, ATLANTA, GA 30312-4205
(404) 265-3304
(404) 265-3305
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
36198
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP6139
MEDICARE GROUP NUMBER
—
Enumeration date
11/06/2007
Last updated
11/06/2007
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