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THE NEUROLOGICAL CENTER OF EAST GEORGIA PC NPI 1184737728


NPI Information

NPI: 1184737728
Provider Name: THE NEUROLOGICAL CENTER OF EAST GEORGIA PC

Former Legal Business Name: STATESBORO NEUROLOGICAL CENTER

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1601 FAIR ROAD
SUITE 400 COTTON RIDGE MEDICAL PLAZA
STATESBORO, GA
ZIP 30458
Phone: (912) 871-8900
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THE NEUROLOGICAL CENTER OF EAST GEORGIA PC is a neurology psychiatry neurology in Statesboro, GA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. THE NEUROLOGICAL CENTER OF EAST GEORGIA PC NPI is 1184737728. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Statesboro Neurological Center.

The provider's business location address is:

1601 FAIR ROAD
SUITE 400 COTTON RIDGE MEDICAL PLAZA
STATESBORO, GA
ZIP 30458-699
Phone: (912) 871-8900
Fax: (912) 871-8901

The provider's authorized official is Gina Michele Taormina .
The authorized official title is Administrator and has the following contact phone number (912) 871-8900.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology040258GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
152676473001OTHERGEORGIABCBS
2GPA675OTHERSOUTH CAROLINAMEDICAID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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