Basic Information
| Provider Information | |||||||||
| NPI: | 1457537003 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | LABORDE | ||||||||
| FirstName: | DAVID | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | EMORY NEUROSURGERY C/O JENNIFER O'NEIL | ||||||||
| Address2: | 1365B CLIFTON RD, NE, TEC B6200, MAIL STOP 2260-001-1AA | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303220001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4047785969 | ||||||||
| FaxNumber: | 4049203484 | ||||||||
| Practice Location | |||||||||
| Address1: | 1364 CLIFTON RD, NE | ||||||||
| Address2: | EMORY UNIVERSITY HOSPITAL | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 30322 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4046861000 | ||||||||
| FaxNumber: | 4049203484 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/14/2008 | ||||||||
| LastUpdateDate: | 01/14/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | 001572 | GA | Y | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.