Southern Neurology, Physical Medicine & Rehabilitation, LLC

NPI #1013544899 in Valdosta, Georgia

Provider Information

NPI Number
1013544899
Entity Type
Organization
Organization Name
Southern Neurology, Physical Medicine & Rehabilitation, LLC
Primary Specialty
Psychiatry & Neurology - Neurology
Enumeration Date
Mar 24, 2020
Last Updated
Mar 24, 2020

Practice Location

Address
4913 LANES POND RD
State
Georgia
ZIP Code
31601-1537
Phone
(229) 292-2074

Authorized Official

Name
TOMMY KEITH BUSSEY
Title
PRACTICE MANAGER
Phone
(229) 292-2074

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - NeurologyNeurology

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