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Organization
NEURAL SIGNALS INC
Active
Organization
NEURAL SIGNALS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP R KENNEDY MD (OWNER)
(770) 220-9964
Entity
Organization
Contact information
Practice address
3400 MCCLURE BRIDGE RD, BLDG D SUITE B, DULUTH, GA 30096
(770) 220-9964
(770) 220-9945
Mailing address
3400 MCCLURE BRIDGE RD, BLDG D SUITE B, DULUTH, GA 30096
(770) 220-9964
(770) 220-9945
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
090106019697
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5100610001
SUPPLIER ID
GA
Enumeration date
07/16/2006
Last updated
10/02/2007
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