Provider Demographics
NPI:1639206386
Name:NEUROLOGY ASSOCIATES LLP
Entity Type:Organization
Organization Name:NEUROLOGY ASSOCIATES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:NORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-743-9123
Mailing Address - Street 1:389 MULBERRY ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-7914
Mailing Address - Country:US
Mailing Address - Phone:478-743-9123
Mailing Address - Fax:478-742-9809
Practice Address - Street 1:389 MULBERRY ST STE 200
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-7917
Practice Address - Country:US
Practice Address - Phone:478-743-9123
Practice Address - Fax:478-750-1421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP728Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER