National Provider Identifier Database

NEUROLOGY SOUTH PC
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

NEUROLOGY SOUTH PC
1050 EAGLES LANDING PKWY
STE 203
STOCKBRIDGE, GA30281
Phone: 770-474-4875
Fax: 770-474-1469
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X

* Indicates primary specialty

NPI Profile & details for NEUROLOGY SOUTH PC

NPI Number 1861530016
Legal business name
LBN
NEUROLOGY SOUTH PC
Authorized official RAGHURAM KOLANU - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/01/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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