Organization
WEST GEORGIA NEUROLOGY AND NEURODIAGNOSTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE A. CANEDO M.D. (SOLO PRACTITIONER/OWNER)
(706) 571-0121
Entity
Organization
Contact information
Practice address
2300 MANCHESTER EXPY, ST FRANCIS MEDICAL PARK, H-103, COLUMBUS, GA 31904-6802
(706) 571-0121
(706) 571-0124
Mailing address
2300 MANCHESTER EXPY, ST FRANCIS MEDICAL PARK, H-103, COLUMBUS, GA 31904-6802
(706) 571-0121
(706) 571-0124
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
2084N0400X
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000416435A
—
GA
05
—
009304610
—
AL
Enumeration date
01/13/2009
Last updated
12/20/2013
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