Provider Demographics
NPI:1689275505
Name:APEX SPINE AND NEUROSURGERY LLC
Entity Type:Organization
Organization Name:APEX SPINE AND NEUROSURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEECHARAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-292-3432
Mailing Address - Street 1:454 SATELLITE BLVD NW STE 100
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-7191
Mailing Address - Country:US
Mailing Address - Phone:678-250-0880
Mailing Address - Fax:678-963-5307
Practice Address - Street 1:454 SATELLITE BLVD NW STE 100
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-7191
Practice Address - Country:US
Practice Address - Phone:678-250-0880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-06
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty