| Buckhead Neuro Group | |
|
925 Woodstock Rd Ste 250 Roswell GA 30075-2209 | |
| (561) 704-6781 | |
| (561) 209-0868 |
| Full Name | Buckhead Neuro Group |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 925 Woodstock Rd Ste 250, Roswell, Georgia |
| Authorized Official Name and Position | Randy Herfield (CEO) |
| Authorized Official Contact | 5617046781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buckhead Neuro Group 14280 S Military Trl Unit 7838 Delray Beach FL 33482-5083 Ph: (561) 704-6781 | Buckhead Neuro Group 925 Woodstock Rd Ste 250 Roswell GA 30075-2209 Ph: (561) 704-6781 |
| NPI Number | 1972210789 |
|---|---|
| Provider Enumeration Date | 11/01/2022 |
| Last Update Date | 11/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972210789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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