Organization
LAKESIDE NEUROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK PUHALOVICH MD (PRESIDENT)
(678) 772-4422
Entity
Organization
Contact information
Practice address
1100 NORTHSIDE FORSYTH DR STE 440, CUMMING, GA 30041-6015
(678) 772-4422
Mailing address
1100 NORTHSIDE FORSYTH DR STE 440, CUMMING, GA 30041-6015
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
05/23/2017
Last updated
07/06/2023
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