# GEORGIA NEUROPATHY LLC

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

## Provider details

- **NPI number:** 1649544800
- **Authorized official:** KEITH BRASWELL (ADMINISTRATOR)
- **Authorized official phone:** (404) 630-1582

## Contact information

- **Practice address:** 3834 AUSTELL RD SW, SUITE C, MARIETTA, GA 30008-5869
- **Practice address phone:** (404) 630-1582
- **Mailing address:** 3834 AUSTELL RD SW, SUITE C, MARIETTA, GA 30008-5869
- **Mailing address phone:** (404) 630-1582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/05/2012
- **Last updated:** 03/05/2012