| Neurodiagnostic Consultants, Llc | |
|
2855 Julias Way Nw Marietta GA 30064-6219 | |
| (770) 974-2200 | |
| (770) 974-2202 |
| Full Name | Neurodiagnostic Consultants, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2855 Julias Way Nw, Marietta, Georgia |
| Authorized Official Name and Position | Debra Smothers (CEO) |
| Authorized Official Contact | 8449393811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurodiagnostic Consultants, Llc Po Box 986 Acworth GA 30101-0986 Ph: (844) 939-3811 | Neurodiagnostic Consultants, Llc 2855 Julias Way Nw Marietta GA 30064-6219 Ph: (770) 974-2200 |
| NPI Number | 1881928646 |
|---|---|
| Provider Enumeration Date | 09/28/2009 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Medicare PECOS PAC ID | 2668515586 |
|---|---|
| Medicare Enrollment ID | O20100201000400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881928646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Husham Mishu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326022583 PECOS PAC ID: 1355235714 Enrollment ID: I20040209000624 |
| Provider Name | Jay Schecter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871658054 PECOS PAC ID: 3577594746 Enrollment ID: I20060112000954 |
| Provider Name | Brian C Hard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225216864 PECOS PAC ID: 7012080872 Enrollment ID: I20080728000050 |
| Provider Name | Julian A Bragg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164606018 PECOS PAC ID: 1951447382 Enrollment ID: I20091015000107 |
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