Comprehensive Neurology Of North Georgia, Pc | |
245 River Park North Dr Woodstock GA 30188-7835 | |
(770) 345-0700 | |
(770) 345-0077 |
Full Name | Comprehensive Neurology Of North Georgia, Pc |
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Speciality | Psychiatry & Neurology |
Location | 245 River Park North Dr, Woodstock, Georgia |
Authorized Official Name and Position | Faiz E Niaz (PHYSICIAN/OWNER) |
Authorized Official Contact | 7703450070 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Comprehensive Neurology Of North Georgia, Pc 245 River Park North Dr Woodstock GA 30188-7835 Ph: (770) 345-0700 | Comprehensive Neurology Of North Georgia, Pc 245 River Park North Dr Woodstock GA 30188-7835 Ph: (770) 345-0700 |
NPI Number | 1407006802 |
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Provider Enumeration Date | 09/23/2008 |
Last Update Date | 04/21/2021 |
Certification Date | 03/25/2021 |
Medicare PECOS PAC ID | 0648339176 |
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Medicare Enrollment ID | O20081112000487 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407006802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | 060948 (Georgia) | Primary |
Provider Name | Faiz Ehsan Niaz |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1922058023 PECOS PAC ID: 8426075359 Enrollment ID: I20081112000507 |
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