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Contact Information

GEORGIA NEUROLOGY AND REHAB
1111 GLYNCO PARKWAY
SUITE 400
BRUNSWICK, GA31525
 Phone: 912-265-1357
 Fax: 912-265-0495
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for GEORGIA NEUROLOGY AND REHAB · (Female)

NPI # 1912003401
Status Active
Credentials
Entity Individual
Enumeration date 09/15/2006
Last updated 11/03/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 036000
  • GA Medicaid 000516942H
  • GA Other DC7432 RAILROAD MEDICARE PIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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