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Contact Information

POLARIS SPINE & NEUROSURGERY CENTER PC
1150 HAMMOND DR. BLDG E SUITE 400
ATLANTA, GA30328
 Phone: 404-234-2753
 Fax: 404-255-6532
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for POLARIS SPINE NEUROSURGERY CENTER PC · (Female)

NPI # 1326120866
Status Active
Credentials
Entity Individual
Enumeration date 10/20/2006
Last updated 03/03/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA Medicaid 055001482A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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