Organization
SYNTACT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN MCLOUGHLIN MS (PRESIDENT)
(404) 273-3968
Entity
Organization
Contact information
Practice address
1495 NATCHEZ WAY, GRAYSON, GA 30017-2930
(404) 273-3968
(404) 601-9616
Mailing address
1495 NATCHEZ WAY, GRAYSON, GA 30017-2930
(404) 273-3968
(404) 601-9616
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
37435
GA
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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