Organization
CENTER FOR RARE NEUROLOGICAL DISEASES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL CHARLES TARQUINIO D.O. (OWNER)
(207) 590-6945
Entity
Organization
Contact information
Practice address
3985 STEVE REYNOLDS BLVD, BLDG O, NORCROSS, GA 30093-3035
(207) 590-6945
Mailing address
2645 CLAIRMONT RD NE, ATLANTA, GA 30329-2710
(207) 590-6945
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
72932
GA
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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