Organization
CHILDREN'S NEUROLOGY CTR MACON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH TRASMONTE M.D. (PROPRIETOR)
(478) 750-8880
Entity
Organization
Contact information
Practice address
840 PINE ST, STE 970, MACON, GA 31201-2100
(478) 750-8880
(478) 750-8860
Mailing address
840 PINE ST, SUITE 970, MACON, GA 31201-2100
(478) 750-8880
(478) 750-8860
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
44127
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000755917E
—
GA
05
—
706246275A
—
GA
05
—
706246275B
—
GA
Enumeration date
11/01/2011
Last updated
02/01/2012
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