Provider Demographics
NPI:1619195781
Name:ATLANTIC NEUROLOGY, PC
Entity Type:Organization
Organization Name:ATLANTIC NEUROLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:GRIFFITH
Authorized Official - Last Name:STEEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:252-637-7860
Mailing Address - Street 1:3515 TRENT RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-2220
Mailing Address - Country:US
Mailing Address - Phone:252-672-7731
Mailing Address - Fax:252-672-7758
Practice Address - Street 1:3515 TRENT RD
Practice Address - Street 2:SUITE 10
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-2220
Practice Address - Country:US
Practice Address - Phone:252-672-7731
Practice Address - Fax:252-672-7758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2000012209862084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1659364156OtherNPI
NC1659364156OtherNPI