Organization
NEURO MATRIX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE ANN DAVIS CPA (CHIEF FINANCIAL OFFICER)
(770) 781-0800
Entity
Organization
Contact information
Practice address
6250 SHILOH RD STE 110, ALPHARETTA, GA 30005-8400
(770) 781-0800
(770) 781-0814
Mailing address
6250 SHILOH RD STE 110, ALPHARETTA, GA 30005-8400
(770) 781-0800
(770) 781-0814
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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