Organization
NEWNAN NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QING NI MD (OWNER)
(770) 683-8637
Entity
Organization
Contact information
Practice address
60 OAK HILL BLVD, SUITE 103, NEWNAN, GA 30265-2314
(770) 683-8637
(770) 683-8633
Mailing address
60 OAK HILL BLVD, SUITE 103, NEWNAN, GA 30265-2314
(770) 683-8637
(770) 683-8633
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
57404
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
639314016
—
GA
05
—
646750194A
—
GA
Enumeration date
06/27/2014
Last updated
07/01/2014
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