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Contact Information

SOUTH GEORGIA NEUROLOGICAL ASSOCIATES, P.C.
907 18TH ST E STE 190
TIFTON, GA31794-3600
 Phone: 229-391-3390
 Fax: 229-391-3399
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Neurology with Special Qualifications in Child Neurology

2084N0402X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for SOUTH GEORGIA NEUROLOGICAL ASSOCIATES, P.C.

NPI Number 1407910607
LBN Legal business name SOUTH GEORGIA NEUROLOGICAL ASSOCIATES, P.C.
Authorized official ANTHONY GIATRAS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/21/2006
Last updated 01/09/2008 - About 18 years ago
Identifiers
GA License # GA042576
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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