# NEUROLOGICAL INSTITUTE OF ATLANTA

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

## Provider details

- **NPI number:** 1538495999
- **Authorized official:** DR. CARL TYLER SHENKMAN MD (PRESIDENT/CEO)
- **Authorized official phone:** (912) 265-1357

## Contact information

- **Practice address:** 1111 GLYNCO PKWY, STE 400, BRUNSWICK, GA 31525-7921
- **Practice address phone:** (912) 265-1357
- **Practice address fax:** (912) 265-0495
- **Mailing address:** 1111 GLYNCO PKWY, STE 400, BRUNSWICK, GA 31525-7921
- **Mailing address phone:** (912) 265-1357
- **Mailing address fax:** (912) 265-0495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | 03600 | GA | Yes |

## Other

- **Enumeration date:** 10/20/2009
- **Last updated:** 10/20/2009