Organization
WESTSIDE NEUROLOGY AND CONCUSSION CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL D QUAYNOR MD, PH.D (PHYSICIAN)
(706) 288-8280
Entity
Organization
Contact information
Practice address
5398 THOMASTON RD, MACON, GA 31220-8110
(706) 288-8280
Mailing address
5398 THOMASTON RD, MACON, GA 31220-8110
(706) 288-8280
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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