| South Atlanta Neurology & Diagnostics, Pc | |
|
7823 Spivey Station Blvd Suite 230 Jonesboro GA 30236-2886 | |
| (678) 782-5000 | |
| (678) 289-9448 |
| Full Name | South Atlanta Neurology & Diagnostics, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7823 Spivey Station Blvd, Jonesboro, Georgia |
| Authorized Official Name and Position | Syed S Hasan (PHYSICIAN/OWNER) |
| Authorized Official Contact | 6787825000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Atlanta Neurology & Diagnostics, Pc 7823 Spivey Station Blvd Suite 230 Jonesboro GA 30236-2886 Ph: (678) 782-5000 | South Atlanta Neurology & Diagnostics, Pc 7823 Spivey Station Blvd Suite 230 Jonesboro GA 30236-2886 Ph: (678) 782-5000 |
| NPI Number | 1801943378 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 02/10/2011 |
| Medicare PECOS PAC ID | 3375545080 |
|---|---|
| Medicare Enrollment ID | O20070215000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801943378 | NPI | - | NPPES |
| 526873369C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 055757 (Georgia) | Primary |
| Provider Name | Syed S Hasan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972605418 PECOS PAC ID: 2466407317 Enrollment ID: I20050314001004 |
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