# COMPLETE BRAIN TESTING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508667940
- **Authorized official:** DR. DR. MICHAEL DUCKETT DO (OWNER CEO)
- **Authorized official phone:** (404) 403-5689

## Contact information

- **Practice address:** 425 E CROSSVILLE RD STE 101, ROSWELL, GA 30075-3058
- **Practice address phone:** (678) 214-8547
- **Mailing address:** 425 E CROSSVILLE RD STE 101, ROSWELL, GA 30075-3058
- **Mailing address phone:** (678) 214-8547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/21/2025
- **Last updated:** 03/21/2025