| Nba Llc | |
|
639 13th St Augusta GA 30901-1007 | |
| (706) 823-5250 | |
| (706) 823-5266 |
| Full Name | Nba Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 639 13th St, Augusta, Georgia |
| Authorized Official Name and Position | Evette Cole (PRACTICE MANAGER) |
| Authorized Official Contact | 7068235275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nba Llc 639 13th St Augusta GA 30901-1007 Ph: (706) 823-5250 | Nba Llc 639 13th St Augusta GA 30901-1007 Ph: (706) 823-5250 |
| NPI Number | 1720408883 |
|---|---|
| Provider Enumeration Date | 04/16/2014 |
| Last Update Date | 04/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720408883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 0810004950 (Virginia) | Primary |
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