| Sunrise Pediatric Neurology | |
|
3417 Canton Rd Building1 Marietta GA 30066-2896 | |
| (678) 606-5700 | |
| Not Available |
| Full Name | Sunrise Pediatric Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 3417 Canton Rd, Marietta, Georgia |
| Authorized Official Name and Position | Cherise Frazier (OWNER) |
| Authorized Official Contact | 6786065700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Pediatric Neurology 3417 Canton Rd Building 1 Marietta GA 30066-2896 Ph: (678) 606-5700 | Sunrise Pediatric Neurology 3417 Canton Rd Building1 Marietta GA 30066-2896 Ph: (678) 606-5700 |
| NPI Number | 1841732138 |
|---|---|
| Provider Enumeration Date | 11/17/2016 |
| Last Update Date | 11/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841732138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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