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Organization

NEUROLOGICAL ASSOCIATES OF THE SOUTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLOS A RIVERA M.D. (PRESIDENT)
(912) 303-9737
Entity
Organization

Contact information

Practice address
810 BEACON ST, WAYCROSS, GA 31501
(912) 284-0034
(912) 284-0036
Mailing address
810 BEACON ST, WAYCROSS, GA 31501-7104
(912) 284-0034
(912) 284-0036

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
05/23/2006
Last updated
08/22/2020
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