Organization
NEURODX ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE S PETRYK D.C., D.A.C.N.B. (MANAGING MEMBER)
(239) 482-0300
Entity
Organization
Contact information
Practice address
5485 BETHELVIEW RD STE 360-333, CUMMING, GA 30040-9735
(239) 482-0300
Mailing address
5290 MATT HWY STE 502-125, CUMMING, GA 30028-8629
(813) 355-9105
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CH8431
FL
208D00000X
General Practice Physician
OS7123
FL
293D00000X
Physiological Laboratory
CH8431
FL
Other
Enumeration date
12/05/2011
Last updated
02/05/2024
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