Advanced Neurospine Surgery Center, LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Johns Creek, GA
NPI 1669916060 · NPPES record last updated Dec 5, 2016
Key facts
- NPI
- 1669916060
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- License
- ME96941 (GA)
- Legal business name
- ADVANCED NEUROSPINE SURGERY CENTER, LLC
- Practice address
- 9635 Ventana Way
Suite 202
Johns Creek, GA 30022-8620 - Phone
- (404) 446-4424
- Fax
- (404) 446-4420
- NPI assigned
- Dec 5, 2016
- Organization subpart
- No
Authorized official
- Name
- Elias Dagnew, MD FAANS
- Title
- President
- Phone
- (404) 446-4424
National Provider Directory
Locations
9635 Ventana Way
Ste 202
Johns Creek, GA 30022
Phone (404) 446-4424
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ME96941 | GA | Yes |
Addresses
Primary practice location
9635 Ventana Way
Suite 202
Johns Creek, GA 30022-8620
Mailing address
9635 Ventana Way
Suite 202
Johns Creek, GA 30022-8620
Phone (404) 446-4424
Other providers in Johns Creek, GA
- Janet Lorraine Adams
- Oluyemisi Adenugba
- Evelyn Adio
- Jurga Adomaityte
- Isaac Kwame Adu
- Advanced Urology Anesthesia, LLC
- Advanced Urology Institute of Georgia
- Aegis Group Practice LLC
- Aegis Group Practice LLC
- Agape Family Healthcare Services Inc.
All providers in Johns Creek, GA · Ambulatory Surgical Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.