Organization
GEORGIA NEUROSCIENCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NILAY SHETH (PRACTICE MANAGER)
(469) 774-3375
Entity
Organization
Contact information
Practice address
1260 HIGHWAY 54 W STE 200, FAYETTEVILLE, GA 30214-4513
(214) 619-1910
(214) 619-1914
Mailing address
1260 HIGHWAY 54 W STE 200, FAYETTEVILLE, GA 30214-4513
(214) 497-5046
(214) 619-1914
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245271402
NPI
—
Enumeration date
11/09/2020
Last updated
03/11/2025
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