Organization
JEREMY MEISEL MD LLC
Active
Other names
Advanced Neurology Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY MEISEL M.D. (OWNER)
(678) 501-5420
Entity
Organization
Contact information
Practice address
4904 TIMBER RIDGE DR, SUITE 305, DOUGLASVILLE, GA 30135-1828
(678) 501-5420
(678) 501-5429
Mailing address
1579 MONROE DR NE STE F, SUITE F602, ATLANTA, GA 30324-5022
(678) 501-5420
(678) 501-5429
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
052786
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
612935883D
—
GA
Enumeration date
08/20/2013
Last updated
11/17/2014
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