| Nova Brain And Spine | |
|
700 Manassas St Ste 400 Hampton GA 30228-5906 | |
| (601) 842-1054 | |
| Not Available |
| Full Name | Nova Brain And Spine |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 700 Manassas St Ste 400, Hampton, Georgia |
| Authorized Official Name and Position | Jerry Lee Walters (PHYSICIAN/OWNER) |
| Authorized Official Contact | 6018421054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Brain And Spine 700 Manassas St Ste 400 Hampton GA 30228-5906 Ph: () - | Nova Brain And Spine 700 Manassas St Ste 400 Hampton GA 30228-5906 Ph: (601) 842-1054 |
| NPI Number | 1386514537 |
|---|---|
| Provider Enumeration Date | 11/11/2025 |
| Last Update Date | 11/11/2025 |
| Certification Date | 11/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386514537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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