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Contact Information

NEUROLOGY AND NEURODIAGNOSTIC LLC
1497 FAIR RD
STATESBORO, GA30458-0822
 Phone: 912-486-1140
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for NEUROLOGY AND NEURODIAGNOSTIC LLC

NPI # 1508393208
LBN Legal business name NEUROLOGY AND NEURODIAGNOSTIC LLC
Authorized official KASHYAP PATEL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/12/2017
Last updated 08/24/2017 - About 9 years ago
Identifiers
GA License # 64438
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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