Physicians South Neurology Llc | |
740 Prince Ave Bldg #9 Athens GA 30606 | |
(706) 369-5084 | |
(706) 369-5099 |
Full Name | Physicians South Neurology Llc |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 740 Prince Ave, Athens, Georgia |
Authorized Official Name and Position | Anthony T Dacunha (PRESIDENT) |
Authorized Official Contact | 7063695084 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Physicians South Neurology Llc 740 Prince Ave Bldg #9 Athens GA 30606 Ph: (706) 369-5084 | Physicians South Neurology Llc 740 Prince Ave Bldg #9 Athens GA 30606 Ph: (706) 369-5084 |
NPI Number | 1013022755 |
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Provider Enumeration Date | 08/21/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013022755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 037435 (Georgia) | Primary |
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