Organization
BRAIN STIMULLATION CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E FUGEDY MD (OWNER)
(404) 549-8357
Entity
Organization
Contact information
Practice address
5445 MERIDIAN MARKS RD NE, SUITE 370, ATLANTA, GA 30342-4763
(404) 549-8357
Mailing address
5445 MERIDIAN MARKS RD NE, SUITE 370, ATLANTA, GA 30342-4763
(404) 549-8357
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
0325502
GA
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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