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NORTH GEORGIA NEUROLOGICAL CLINIC PC NPI 1922167360


NPI Information

NPI: 1922167360
Provider Name: NORTH GEORGIA NEUROLOGICAL CLINIC PC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
600 PROFESSIONAL DRIVE
SUITE 110
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 995-0555
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NORTH GEORGIA NEUROLOGICAL CLINIC PC is a neurology psychiatry neurology in Lawrenceville, 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. NORTH GEORGIA NEUROLOGICAL CLINIC PC NPI is 1922167360. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

600 PROFESSIONAL DRIVE
SUITE 110
LAWRENCEVILLE, GA
ZIP 30046-638
Phone: (770) 995-0555
Fax: (770) 995-0682

The provider's authorized official is Susan A Williamson .
The authorized official title is Business Manager and has the following contact phone number (770) 995-0555.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 4/6/2011.


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
12084N0400XPsychiatry & NeurologyNeurologyNo
22084N0400XPsychiatry & NeurologyNeurology035789GEORGIAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP00941MEDICARE PINGEORGIA
2GRP941MEDICARE ID-TYPE UNSPECIFIEDGEORGIA

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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