ATLANTA SOUTHEAST CENTER FOR EPILEPSY & NEURODEVELOPMENT PC NPI 1023372570

NPI Information

  • NPI: 1023372570
  • Provider Name: ATLANTA SOUTHEAST CENTER FOR EPILEPSY & NEURODEVELOPMENT, PC
  • Classification: Psychiatry & Neurology - 2084N0402X
  • Specialization: Neurology with Special Qualifications in Child Neurology
  • Entity Type: Organization
  • Doing Business As: ASCEND
  • Address: 5505 PEACHTREE DUNWOODY RD NE
    SUITE 500
    ATLANTA, GA
    ZIP 30342
  • Phone: (404) 256-3535

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NPI Details

ATLANTA SOUTHEAST CENTER FOR EPILEPSY & NEURODEVELOPMENT, PC is a neurology with special qualifications in child neurology psychiatry neurology in Atlanta, GA. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. ATLANTA SOUTHEAST CENTER FOR EPILEPSY & NEURODEVELOPMENT, PC NPI is 1023372570. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ascend.

The provider's business location address is:

5505 PEACHTREE DUNWOODY RD NE
SUITE 500
ATLANTA, GA
ZIP 30342-705
Phone: (404) 256-3535
Fax: (404) 847-1011

The provider's authorized official is Debra Rosenberg .
The authorized official title is Practice Administrator and has the following contact phone number (404) 256-6903.

The enumeration date for this NPI number is 6/29/2012 and was last updated on 6/29/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology022051GEORGIAYes

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This page was last updated on: 3/30/2025

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