Organization
GEORGIA NEUROPATHY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH BRASWELL (ADMINISTRATOR)
(404) 630-1582
Entity
Organization
Contact information
Practice address
3834 AUSTELL RD SW, SUITE C, MARIETTA, GA 30008-5869
(404) 630-1582
Mailing address
3834 AUSTELL RD SW, SUITE C, MARIETTA, GA 30008-5869
(404) 630-1582
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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