Wellstar Neuropsychology | |
677 Church St Ne Marietta GA 30060-1101 | |
(770) 793-6695 | |
(770) 793-7997 |
Full Name | Wellstar Neuropsychology |
---|---|
Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
Location | 677 Church St Ne, Marietta, Georgia |
Authorized Official Name and Position | Nicole Ashe (EXECUTIVE DIRECTOR OF FINANCE) |
Authorized Official Contact | 4706440095 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wellstar Neuropsychology 677 Church St Ne Marietta GA 30060-1101 Ph: (770) 793-6695 | Wellstar Neuropsychology 677 Church St Ne Marietta GA 30060-1101 Ph: (770) 793-6695 |
NPI Number | 1689967697 |
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Provider Enumeration Date | 05/24/2011 |
Last Update Date | 11/18/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689967697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (Georgia) | Primary |
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