institution
East Atlanta Neurology And Headache Clinic
Specialist in Snellville, Georgia
NPI 1629114095

East Atlanta Neurology And Headache Clinic is a Specialist based in Snellville, GA. East Atlanta Neurology And Headache Clinic practices in Snellville, GA. The NPI Number for East Atlanta Neurology And Headache Clinic is 1629114095 and holds a License No. 032050 (Georgia).

The current practice location address for East Atlanta Neurology And Headache Clinic is 2138 Highway 124 N Ste C, Snellville, GA and can be reached out via phone at 770-978-3578 and via fax at 770-978-6630.

Location: 2138 Highway 124 N Ste C, Snellville, GA, 30078-6106
institution
Provider Profile Details
NPI Number
1629114095
Provider Name
East Atlanta Neurology And Headache Clinic
Credential
Provider Entity Type
Organization
Address
2138 Highway 124 N Ste C, Snellville, GA, 30078-6106
Phone Number
770-978-3578
Fax Number
770-978-6630
Provider Enumeration Date
01/30/2007
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CH2781 01 GA RAILROAD MEDICARE
032050 01 GA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2138 Highway 124 N Ste C
City
State
Zip
30078-6106
Phone Number
770-978-3578
Fax Number
770-978-6630
person
Provider Business Mailing Address Details
Address
2138 Highway 124 N Ste C
City
State
Zip
30078-6106
Phone Number
770-978-3578
Fax Number
770-978-6630
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
032050 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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