Organization
EAST ATLANTA NEUROLOGY AND HEADACHE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA D SCHUMANN (PRACTICE MANAGER)
(770) 978-3578
Entity
Organization
Contact information
Practice address
2138 HIGHWAY 124 N STE C, SNELLVILLE, GA 30078-6106
(770) 978-3578
(770) 978-6630
Mailing address
2138 SCENIC HWY N STE C, SNELLVILLE, GA 30078-6106
(770) 978-3578
(770) 978-6630
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
032050
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032050
STATE LICENSE
GA
01
—
CH2781
RAILROAD MEDICARE
GA
Enumeration date
01/30/2007
Last updated
04/29/2024
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