South Georgia Neurological Associates, P.c.

NPI #1407910607 in Tifton, Georgia

Provider Information

NPI Number: 1407910607
Entity Type: Organization
Organization Name: South Georgia Neurological Associates, P.c.
Primary Specialty: Psychiatry & Neurology - Clinical Neurophysiology
Enumeration Date: Dec 21, 2006
Last Updated: Jan 9, 2008

Practice Location

Address: 907 18TH ST E STE 190
City: Tifton
State: Georgia
ZIP Code: 31794-3600
Phone: (229) 391-3390

Authorized Official

Name: DR. ANTHONY GEORGE GIATRAS, M.D.
Title: OWNER
Phone: (229) 391-3390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology — Neurology with Special Qualifications in Child Neurology	2084N0402X
Psychiatry & Neurology - Clinical Neurophysiology — Clinical Neurophysiology	2084N0600X	Primary

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