Organization
SOUTH ATLANTA NEUROLOGY & PAIN CLINIC, PC
Active
Other names
OPEN MRI OF SANPC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRICE BYUNG-IL CHOI M.D. (OWNER/PRESIDENT)
(770) 507-7359
Entity
Organization
Contact information
Practice address
1040 EAGLES LANDING PKWY, STE 102, STOCKBRIDGE, GA 30281-9073
(770) 507-7359
(770) 507-8390
Mailing address
PO BOX 1198, FAYETTEVILLE, GA 30214-6198
(770) 507-7359
(770) 507-8390
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
044899
GA
2084N0400X
Neurology Physician
Primary
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000783989F
—
GA
01
—
1174554455
INDIVIDUAL NPI #
GA
Enumeration date
06/26/2008
Last updated
01/19/2011
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