Organization
NEUROLOGY SOUTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAGHURAM KOLANU MD (PRESIDENT)
(770) 474-4875
Entity
Organization
Contact information
Practice address
1050 EAGLES LANDING PKWY, STE 203, STOCKBRIDGE, GA 30281
(770) 474-4875
(770) 474-1469
Mailing address
PO BOX 2877, STOCKBRIDGE, GA 30281
(770) 474-4875
(770) 474-1469
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
02/01/2007
Last updated
08/22/2020
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