| Southcare Physicians Group Neurology | |
|
3886 Princeton Lakes Way Suite 160 Atlanta GA 30331-5511 | |
| (404) 530-3045 | |
| (404) 530-3052 |
| Full Name | Southcare Physicians Group Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3886 Princeton Lakes Way, Atlanta, Georgia |
| Authorized Official Name and Position | Wesley O. James (REGIONAL CFO, TENET) |
| Authorized Official Contact | 4042655009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southcare Physicians Group Neurology Po Box 405913 Atlanta GA 30384-5913 Ph: (404) 530-3045 | Southcare Physicians Group Neurology 3886 Princeton Lakes Way Suite 160 Atlanta GA 30331-5511 Ph: (404) 530-3045 |
| NPI Number | 1124262068 |
|---|---|
| Provider Enumeration Date | 04/22/2009 |
| Last Update Date | 06/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124262068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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