| Douglas Neurology Associates, P.c. | |
|
4586 Timber Ridge Dr Suite 140 Douglasville GA 30135-7517 | |
| (678) 838-2180 | |
| (678) 838-2191 |
| Full Name | Douglas Neurology Associates, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4586 Timber Ridge Dr, Douglasville, Georgia |
| Authorized Official Name and Position | Daniel E Zdonczyk (PRESIDENT) |
| Authorized Official Contact | 6788382180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Neurology Associates, P.c. 4586 Timber Ridge Dr Suite 140 Douglasville GA 30135-7517 Ph: (678) 838-2180 | Douglas Neurology Associates, P.c. 4586 Timber Ridge Dr Suite 140 Douglasville GA 30135-7517 Ph: (678) 838-2180 |
| NPI Number | 1548300452 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3577559392 |
|---|---|
| Medicare Enrollment ID | O20040426000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548300452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Jeffrey S Charpentier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740283969 PECOS PAC ID: 7517905094 Enrollment ID: I20050425000719 |
| Provider Name | Preethi Natarajan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760405146 PECOS PAC ID: 7911925102 Enrollment ID: I20051107000154 |
| Provider Name | Jodi Taylor Steed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932158185 PECOS PAC ID: 6406951813 Enrollment ID: I20070413000160 |
| Provider Name | Daniel E Zdonczyk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285658542 PECOS PAC ID: 3870774235 Enrollment ID: I20110218000668 |
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