Organization
GEORGIA NEUROSURGICAL INSTITUTE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI WYNN (PRACTICE MANAGER)
(478) 743-7092
Entity
Organization
Contact information
Practice address
840 PINE ST, SUITE 880, MACON, GA 31201-2100
(478) 743-7092
(478) 743-6293
Mailing address
840 PINE ST, SUITE 880, MACON, GA 31201-2100
(478) 743-7092
(478) 743-6293
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509880020A
—
GA
Enumeration date
05/24/2006
Last updated
02/09/2024
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