Northeast Atlanta Neurological Associates LLC

NPI #1568120186 in Ft Worth, Texas

Provider Information

NPI Number: 1568120186
Entity Type: Organization
Organization Name: Northeast Atlanta Neurological Associates LLC
Primary Specialty: Electrodiagnostic Medicine
Enumeration Date: Dec 1, 2021
Last Updated: Dec 1, 2021

Practice Location

Address: 111 BOLAND ST STE 211
City: Ft Worth
State: Texas
ZIP Code: 76107-1265
Phone: (817) 529-8488

Authorized Official

Name: GINA SULLIVAN
Title: PRACTICE ADMINISTRATOR
Phone: (903) 259-0550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Electrodiagnostic Medicine	204R00000X	Primary

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