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NEUROLOGY AND NEURODIAGNOSTIC LLC NPI 1508393208


NPI Information

NPI: 1508393208
Provider Name: NEUROLOGY AND NEURODIAGNOSTIC LLC
Classification: Psychiatry & Neurology - 2084N0600X
Entity Type: Organization

Specialization: Clinical Neurophysiology

CLIA Number: 11D2257639

Address:
1497 FAIR RD
STATESBORO, GA
ZIP 30458
Phone: (912) 486-1140
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NEUROLOGY AND NEURODIAGNOSTIC LLC is a clinical neurophysiology psychiatry neurology in Statesboro, GA. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). NEUROLOGY AND NEURODIAGNOSTIC LLC NPI is 1508393208. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1497 FAIR RD
STATESBORO, GA
ZIP 30458-822
Phone: (912) 486-1140

The provider's authorized official is Kashyap Patel .
The authorized official title is Owner and has the following contact phone number (912) 481-9945.

The CLIA number assigned to this NPI record is 11D2257639 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2017 and was last updated on 8/24/2017.


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
12084N0600XPsychiatry & NeurologyClinical Neurophysiology64438GEORGIAYes

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: 4/28/2024

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