Organization
BUCKHEAD NEURO GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY HERFIELD (CEO)
(561) 704-6781
Entity
Organization
Contact information
Practice address
925 WOODSTOCK RD STE 250, ROSWELL, GA 30075-2209
(561) 704-6781
(561) 209-0868
Mailing address
14280 S MILITARY TRL UNIT 7838, DELRAY BEACH, FL 33482-5083
(561) 704-6781
(561) 209-0868
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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