Provider Demographics
NPI:1023603636
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:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:SEECHARAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-250-0880
Mailing Address - Street 1:6600 SUGARLOAF PKWY STE 400-230
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-4344
Mailing Address - Country:US
Mailing Address - Phone:678-250-0880
Mailing Address - Fax:
Practice Address - Street 1:426 EXCHANGE BLVD STE 500
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:GA
Practice Address - Zip Code:30620-1797
Practice Address - Country:US
Practice Address - Phone:678-250-0880
Practice Address - Fax:678-963-5307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-05
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty