Organization
ADVANCED NEUROLOGY SPECIALIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSITA S. SHIVDAT-NANHOE MD (PHYSICIAN/OWNER)
(478) 225-2297
Entity
Organization
Contact information
Practice address
116 HOSPITAL DR, WARNER ROBINS, GA 31088-4204
(478) 225-2297
(478) 225-2477
Mailing address
116 HOSPITAL DR, WARNER ROBINS, GA 31088-4204
(478) 225-2297
(478) 225-2477
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
062081
GA
Other
Enumeration date
12/20/2010
Last updated
03/29/2011
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