Cerebrofit Llc | |
2752 E Ponce De Leon Ave Ste G Decatur GA 30030-2714 | |
(404) 482-3898 | |
(404) 348-2359 |
Full Name | Cerebrofit Llc |
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Speciality | Clinical Neuropsychologist |
Location | 2752 E Ponce De Leon Ave Ste G, Decatur, Georgia |
Authorized Official Name and Position | Vonetta Dotson (PRESIDENT) |
Authorized Official Contact | 3522130100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cerebrofit Llc 3328 E Ponce De Leon Ave Unit 437 Scottsdale GA 30079 Ph: () - | Cerebrofit Llc 2752 E Ponce De Leon Ave Ste G Decatur GA 30030-2714 Ph: (404) 482-3898 |
NPI Number | 1992558431 |
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Provider Enumeration Date | 04/05/2024 |
Last Update Date | 04/11/2024 |
Certification Date | 04/11/2024 |
Medicare PECOS PAC ID | 8426592486 |
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Medicare Enrollment ID | O20240701003158 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992558431 | NPI | - | NPPES |
Provider Name | Vonetta Michelle Dotson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1912203076 PECOS PAC ID: 9931384179 Enrollment ID: I20240701003310 |
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