Organization
GEORGIA SPINE & NEUROSURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAVEH KHAJAVI MD (PRESIDENT)
(404) 299-3338
Entity
Organization
Contact information
Practice address
2675 N DECATUR RD, SUITE 710, DECATUR, GA 30033-6131
(404) 299-3338
(404) 299-3315
Mailing address
2675 N DECATUR RD, SUITE 710, DECATUR, GA 30033-6131
(404) 299-3338
(404) 299-3315
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
51201
GA
Other
Enumeration date
03/19/2007
Last updated
06/25/2008
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