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Contact Information

BRAIN STIMULLATION CLINIC, LLC
5445 MERIDIAN MARKS RD NE
SUITE 370
ATLANTA, GA30342-4763
 Phone: 404-549-8357
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for BRAIN STIMULLATION CLINIC, LLC

NPI Number 1225375652
LBN Legal business name BRAIN STIMULLATION CLINIC, LLC
Authorized official JAMES FUGEDY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/04/2013
Last updated 01/04/2013 - About 13 years ago
Identifiers
GA License # 0325502
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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