Brain Stimullation Clinic, LLC

NPI #1225375652 in Atlanta, Georgia

Provider Information

NPI Number
1225375652
Entity Type
Organization
Organization Name
Brain Stimullation Clinic, LLC
Primary Specialty
Health Maintenance Organization
Enumeration Date
Jan 4, 2013
Last Updated
Jan 4, 2013

Practice Location

Address
5445 MERIDIAN MARKS RD NE
Address 2
SUITE 370
State
Georgia
ZIP Code
30342-4763
Phone
(404) 549-8357

Authorized Official

Name
JAMES E FUGEDY, MD
Title
OWNER
Phone
(404) 549-8357

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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