SUMNER NEUROLOGY ASSOCIATES PLLC NPI 1801926381

NPI Information

SUMNER NEUROLOGY ASSOCIATES, PLLC is a multi-specialty clinic center in Marietta, GA. SUMNER NEUROLOGY ASSOCIATES, PLLC NPI is 1801926381. The provider is registered as an organization entity type.

The provider's business location address is:

1000 JOHNSON FERRY RD BLDG F
STE.120
MARIETTA, GA
ZIP 30068-114
Phone: (678) 402-1053
Fax: (678) 402-5619

The provider's authorized official is Jawaid Ahsan .
The authorized official title is Owner and has the following contact phone number (678) 402-1053.

The CLIA number assigned to this NPI record is 11D2180882 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 11/1/2012.

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:

Other Identifiers

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

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