Organization
ATLANTA SOUTHEAST CENTER FOR EPILEPSY & NEURODEVELOPMENT, PC
Active
Other names
ASCEND
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA ROSENBERG (PRACTICE ADMINISTRATOR)
(404) 256-6903
Entity
Organization
Contact information
Practice address
5505 PEACHTREE DUNWOODY RD NE, SUITE 500, ATLANTA, GA 30342-1705
(404) 256-3535
(404) 847-1011
Mailing address
5505 PEACHTREE DUNWOODY RD NE, SUITE 500, ATLANTA, GA 30342-1705
(404) 256-3535
(404) 847-1011
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
022051
GA
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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