Organization
NEURO DIAGNOSTIC GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OFFER DANAN DC (CEO)
(770) 695-5500
Entity
Organization
Contact information
Practice address
200 GALLERIA PKWY SE STE 100, ATLANTA, GA 30339-5944
(855) 411-2225
(800) 886-1731
Mailing address
200 GALLERIA PKWY SE STE 100, ATLANTA, GA 30339-5944
(855) 411-2225
(800) 886-1731
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
59870
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679765523
NEUROLOGY
GA
Enumeration date
08/30/2017
Last updated
07/21/2022
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