National Provider Identifier Database

GEORGIA NEUROLOGY AND REHAB
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

GEORGIA NEUROLOGY AND REHAB
1111 GLYNCO PARKWAY
SUITE 400
BRUNSWICK, GA31525
Phone: 912-265-1357
Fax: 912-265-0495
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for GEORGIA NEUROLOGY AND REHAB

NPI Number 1912003401
Legal business name
LBN
GEORGIA NEUROLOGY AND REHAB
Authorized official CARL SHENKMAN - (CEO)
Entity Organization
Organization subpart No
Enumeration date 09/15/2006
Last updated 11/03/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 036000
  • GA Medicaid: 000516942H
  • GA Other: DC7432 RAILROAD MEDICARE PIN

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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