| The Neurological Center Of North Georgia | |
|
1485 Jesse Jewell Pkwy Ne Ste 240a Gainesville GA 30501-3801 | |
| (678) 961-0733 | |
| Not Available |
| Full Name | The Neurological Center Of North Georgia |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1485 Jesse Jewell Pkwy Ne Ste 240a, Gainesville, Georgia |
| Authorized Official Name and Position | Daniel Lamar Cobb (CEO/OWNER) |
| Authorized Official Contact | 6789610733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Neurological Center Of North Georgia Po Box 908621 Gainesville GA 30501-0926 Ph: (678) 961-0733 | The Neurological Center Of North Georgia 1485 Jesse Jewell Pkwy Ne Ste 240a Gainesville GA 30501-3801 Ph: (678) 961-0733 |
| NPI Number | 1205370459 |
|---|---|
| Provider Enumeration Date | 12/07/2016 |
| Last Update Date | 05/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205370459 | NPI | - | NPPES |
| 003204389A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Secondary |
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