Neurology South PC
NPI #1861530016 in Stockbridge, Georgia
Provider Information
- NPI Number
- 1861530016
- Entity Type
- Organization
- Organization Name
- Neurology South PC
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Feb 1, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1050 EAGLES LANDING PKWY
- Address 2
- STE 203
- City
- Stockbridge
- State
- Georgia
- ZIP Code
- 30281
- Phone
- (770) 474-4875
Authorized Official
- Name
- DR. RAGHURAM KOLANU, MD
- Title
- PRESIDENT
- Phone
- (770) 474-4875
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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