| NPI | 1245070879 |
|---|---|
| Doing Business As | LEGACY BRAIN & SPINE LLC - TUCKER |
| Entity Type | Organization |
| Authorized Contact | SAID ELSHIHABI Owner 770-291-8987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-05-30 |