WESTSIDE NEUROLOGY AND CONCUSSION CLINIC LLC NPI 1639744998

NPI Information

WESTSIDE NEUROLOGY AND CONCUSSION CLINIC LLC is a neurology psychiatry neurology in Macon, 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. WESTSIDE NEUROLOGY AND CONCUSSION CLINIC LLC NPI is 1639744998. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5398 THOMASTON RD
MACON, GA
ZIP 31220-110
Phone: (706) 288-8280

The provider's authorized official is Samuel D Quaynor .
The authorized official title is Physician and has the following contact phone number (706) 288-8280.

The enumeration date for this NPI number is 5/20/2021 and was last updated on 5/20/2021.

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:

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