Organization
NEUROLOGICAL INSTITUTE OF ATLANTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL TYLER SHENKMAN MD (PRESIDENT/CEO)
(912) 265-1357
Entity
Organization
Contact information
Practice address
1111 GLYNCO PKWY, STE 400, BRUNSWICK, GA 31525-7921
(912) 265-1357
(912) 265-0495
Mailing address
1111 GLYNCO PKWY, STE 400, BRUNSWICK, GA 31525-7921
(912) 265-1357
(912) 265-0495
Taxonomy
Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
03600
GA
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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