| Neurocare Institute Of Georgia | |
|
135 Eagles Walk Suite 150 Stockbridge GA 30281-7206 | |
| (678) 289-8662 | |
| (678) 289-8691 |
| Full Name | Neurocare Institute Of Georgia |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 135 Eagles Walk, Stockbridge, Georgia |
| Authorized Official Name and Position | Mary C Taylor (NEUROLOGIST) |
| Authorized Official Contact | 6782898662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurocare Institute Of Georgia 950 Eagles Landing Pkwy # 261 Stockbridge GA 30281-7343 Ph: (678) 289-8662 | Neurocare Institute Of Georgia 135 Eagles Walk Suite 150 Stockbridge GA 30281-7206 Ph: (678) 289-8662 |
| NPI Number | 1093098469 |
|---|---|
| Provider Enumeration Date | 09/22/2011 |
| Last Update Date | 09/22/2011 |
| Medicare PECOS PAC ID | 5092986000 |
|---|---|
| Medicare Enrollment ID | O20110923000394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093098469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Mary C Taylor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740201243 PECOS PAC ID: 6608880653 Enrollment ID: I20060130000676 |
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