Organization
NEURO EDX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE PETRYK DC (MANAGER)
(678) 780-6242
Entity
Organization
Contact information
Practice address
29488 WOODWARD AVENUE, SUITE 429, ROYAL OAK, MI 48073
(678) 780-6242
(877) 711-7411
Mailing address
7270 MATT HWY STE 502-125, CUMMING, GA 30028
(678) 780-6242
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
05/22/2018
Last updated
02/05/2024
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