Organization
PHYSICIANS SOUTH NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY T DACUNHA MD (PRESIDENT)
(706) 369-5084
Entity
Organization
Contact information
Practice address
740 PRINCE AVE, BLDG #9, ATHENS, GA 30606
(706) 369-5084
(706) 369-5099
Mailing address
740 PRINCE AVE, BLDG #9, ATHENS, GA 30606
(706) 369-5084
(706) 369-5099
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
037435
GA
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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