| NPI | 1811927650 |
|---|---|
| Doing Business As | MEMORIAL NEUROSURGERY GROUP, LLC |
| Entity Type | Organization |
| Authorized Contact | MICKEY PICKLER Vice President 850-523-2117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-11-02 |