| Advanced Neurology Specialist, Llc | |
|
116 Hospital Dr Warner Robins GA 31088-4204 | |
| (478) 225-2297 | |
| (478) 225-2477 |
| Full Name | Advanced Neurology Specialist, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 116 Hospital Dr, Warner Robins, Georgia |
| Authorized Official Name and Position | Rosita S. Shivdat-nanhoe (PHYSICIAN/OWNER) |
| Authorized Official Contact | 4782252297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Neurology Specialist, Llc 116 Hospital Dr Warner Robins GA 31088-4204 Ph: (478) 225-2297 | Advanced Neurology Specialist, Llc 116 Hospital Dr Warner Robins GA 31088-4204 Ph: (478) 225-2297 |
| NPI Number | 1043513609 |
|---|---|
| Provider Enumeration Date | 12/20/2010 |
| Last Update Date | 03/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043513609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 062081 (Georgia) | Primary |
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