Organization
ATLANTA NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOREEN SHINN (CFO)
(609) 380-3305
Entity
Organization
Contact information
Practice address
925B PEACHTREE ST NE STE 166, ATLANTA, GA 30309-3918
(404) 900-9540
Mailing address
925B PEACHTREE ST NE STE 166, ATLANTA, GA 30309-3918
(404) 900-9540
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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