Provider Demographics
NPI:1710290606
Name:GEORGIA NEUROSURGICAL INSTITUTE OUTPATIENT SURGERY CENTER
Entity Type:Organization
Organization Name:GEORGIA NEUROSURGICAL INSTITUTE OUTPATIENT SURGERY CENTER
Other - Org Name:GEORGIA NEUROSURGICAL INSTITUTE OUTPATIENT SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:APPEAL DENIALS
Authorized Official - Prefix:
Authorized Official - First Name:BERNADINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:AS, CPC, CBP, CPC-I
Authorized Official - Phone:478-743-7092
Mailing Address - Street 1:840 PINE ST
Mailing Address - Street 2:SUITE 810
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-2100
Mailing Address - Country:US
Mailing Address - Phone:478-743-7092
Mailing Address - Fax:478-743-0523
Practice Address - Street 1:840 PINE ST
Practice Address - Street 2:SUITE 810
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-2100
Practice Address - Country:US
Practice Address - Phone:478-743-7092
Practice Address - Fax:478-743-0523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-20
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical