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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 Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for NEUROLOGY SOUTH PC

NPI Number 1861530016
LBN Legal business name NEUROLOGY SOUTH PC
Authorized official RAGHURAM KOLANU - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/01/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
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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