# SUMNER NEUROLOGY ASSOCIATES, PLLC

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

## Provider details

- **NPI number:** 1801926381
- **Authorized official:** DR. JAWAID AHSAN M.D. (OWNER)
- **Authorized official phone:** (678) 402-1053

## Contact information

- **Practice address:** 1000 JOHNSON FERRY RD BLDG F, STE.120, MARIETTA, GA 30068-2114
- **Practice address phone:** (678) 402-1053
- **Practice address fax:** (678) 402-5619
- **Mailing address:** PO BOX 680010, MARIETTA, GA 30068-0001
- **Mailing address phone:** (678) 402-1053
- **Mailing address fax:** (678) 402-5619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 16896 | TN | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 11/01/2012