Georgia Neurosciences | |
1250 Highway 54 W Ste 102 Fayetteville GA 30214-4540 | |
(214) 618-1636 | |
Not Available |
Full Name | Georgia Neurosciences |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 1250 Highway 54 W Ste 102, Fayetteville, Georgia |
Authorized Official Name and Position | Nilay Sheth (PRACTICE MANAGER) |
Authorized Official Contact | 4697743375 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Georgia Neurosciences 5375 Coit Rd Ste 130 Frisco TX 75035-4914 Ph: (214) 497-5046 | Georgia Neurosciences 1250 Highway 54 W Ste 102 Fayetteville GA 30214-4540 Ph: (214) 618-1636 |
NPI Number | 1649871351 |
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Provider Enumeration Date | 11/09/2020 |
Last Update Date | 11/07/2024 |
Certification Date | 11/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649871351 | NPI | - | NPPES |
1245271402 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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