1407910607 NPI number — SOUTH GEORGIA NEUROLOGICAL ASSOCIATES, P.C.

Table of content: (NPI 1407910607)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407910607 NPI number — SOUTH GEORGIA NEUROLOGICAL ASSOCIATES, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTH GEORGIA NEUROLOGICAL ASSOCIATES, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407910607
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/09/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
907 18TH ST E STE 190
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TIFTON
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31794-3600
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
229-391-3390
Provider Business Mailing Address Fax Number:
229-391-3399

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
907 18TH ST E STE 190
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TIFTON
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31794-3600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
229-391-3390
Provider Business Practice Location Address Fax Number:
229-391-3399
Provider Enumeration Date:
12/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GIATRAS
Authorized Official First Name:
ANTHONY
Authorized Official Middle Name:
GEORGE
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
229-391-3390

Provider Taxonomy Codes

  • Taxonomy code: 2084N0402X , with the licence number:  GA042576 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084N0600X , with the licence number: GA042576 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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