Organization
NORTHEAST GEORGIA NEUROLOGY, LLC
Active
Organization
NORTHEAST GEORGIA NEUROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOREEN SHINN (VP)
(214) 455-3161
Entity
Organization
Contact information
Practice address
925B PEACHTREE ST NE STE 835, ATLANTA, GA 30309-3918
(404) 900-9540
Mailing address
925B PEACHTREE ST NE STE 835, ATLANTA, GA 30309-3918
(404) 900-9540
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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