| Westside Neurology And Concussion Clinic Llc | |
|
5398 Thomaston Rd Macon GA 31220-8110 | |
| (706) 288-8280 | |
| Not Available |
| Full Name | Westside Neurology And Concussion Clinic Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 5398 Thomaston Rd, Macon, Georgia |
| Authorized Official Name and Position | Samuel D Quaynor (PHYSICIAN) |
| Authorized Official Contact | 7062888280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Neurology And Concussion Clinic Llc 5398 Thomaston Rd Macon GA 31220-8110 Ph: (706) 288-8280 | Westside Neurology And Concussion Clinic Llc 5398 Thomaston Rd Macon GA 31220-8110 Ph: (706) 288-8280 |
| NPI Number | 1639744998 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Certification Date | 05/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639744998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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