Provider Demographics
NPI:1447923560
Name:AXION SPINE & NEUROSURGERY, PC
Entity type:Organization
Organization Name:AXION SPINE & NEUROSURGERY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-579-3962
Mailing Address - Street 1:PO BOX 2839
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-0048
Mailing Address - Country:US
Mailing Address - Phone:470-579-3962
Mailing Address - Fax:470-579-3961
Practice Address - Street 1:4100 OLD MILTON PKWY STE 101
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-4442
Practice Address - Country:US
Practice Address - Phone:470-579-3962
Practice Address - Fax:770-443-5876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty