Organization
UNIVERSITY NEURO, LLC
Active
Organization
UNIVERSITY NEURO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOREEN SHINN (VP & CFO)
(609) 380-3305
Entity
Organization
Contact information
Practice address
925B PEACHTREE ST NE STE 710, ATLANTA, GA 30309-3918
(609) 380-3305
Mailing address
DEPT 880256 PO BOX 29650, PHOENIX, AZ 85038-9650
(609) 380-3305
(609) 521-4092
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
06/05/2017
Last updated
10/03/2023
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