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Organization

CLINICAL NEURO DX, LLC

Active
Other names
Clinical Neuro Diagnostics, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ATEER SHETH CNLM, MS (MEMBER, CLINICAL NEUROPHYSIOLOGIST)
(404) 419-1319
Entity
Organization

Contact information

Practice address
260 PEACHTREE ST NW STE 2200, ATLANTA, GA 30303-1292
(404) 419-1319
Mailing address
PO BOX 2259, GRIFFIN, GA 30224-0057
(404) 419-1319
(866) 209-0284

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
639
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
639
CNLM
GA
Enumeration date
11/23/2007
Last updated
04/02/2009
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