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Organization

THE NEUROPSYCHOLOGY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALFONSO MARTINEZ PH.D. (OWNER / NEUROPSYCHOLOGIST)
(770) 632-1088
Entity
Organization

Contact information

Practice address
6000 SHAKERAG HL, SUITE 216, PEACHTREE CITY, GA 30269-6523
(770) 632-1088
(770) 632-2088
Mailing address
6000 SHAKERAG HL, SUITE 216, PEACHTREE CITY, GA 30269-6523
(770) 632-1088
(770) 632-2088

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY3117
GA

Other

Enumeration date
11/27/2007
Last updated
11/28/2007
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