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11D2184832 CLIA NUMBER - NEUROLOGICAL INSTITUTE FOR CONCUSSION AND HEADACHE

Laboratory Demographics

CLIA Number: 11D2184832

Facility Name: NEUROLOGICAL INSTITUTE FOR CONCUSSION AND HEADACHE

Facility Address:
50 PLAZA WAY
MARIETTA, GA
ZIP 30060
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Facility Phone Number: 404 596-5670

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1811544158

Taxonomy: 204D00000X - Neuromusculoskeletal Medicine & OMM
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

CLIA Record

Field Name Field Value
CLIA Number 11D2184832
LAB Type Physician Office
Facility Name NEUROLOGICAL INSTITUTE FOR CONCUSSION AND HEADACHE
Street 50 PLAZA WAY
City MARIETTA
State GA
ZIP 30060
Phone 404 596-5670
CertificateType 4
CertificateEffectiveDate 5/26/2022
CertificateExpirationDate 5/25/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024