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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

NPI Number 1326120866
LBN Legal business name POLARIS SPINE & NEUROSURGERY CENTER PC
Authorized official JULIE HERR - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2006
Last updated 03/03/2022 - About 4 years ago
Identifiers
GA Medicaid 055001482A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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