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SOUTH GEORGIA NEUROLOGICAL ASSOCIATES P.C. NPI 1407910607


NPI Information

NPI: 1407910607
Provider Name: SOUTH GEORGIA NEUROLOGICAL ASSOCIATES, P.C.
Classification: Psychiatry & Neurology - 2084N0600X
Entity Type: Organization

Specialization: Clinical Neurophysiology

Address:
907 18TH ST E STE 190
TIFTON, GA
ZIP 31794
Phone: (229) 391-3390
Get Directions

SOUTH GEORGIA NEUROLOGICAL ASSOCIATES, P.C. is a clinical neurophysiology psychiatry neurology in Tifton, GA. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). SOUTH GEORGIA NEUROLOGICAL ASSOCIATES, P.C. NPI is 1407910607. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

907 18TH ST E STE 190
TIFTON, GA
ZIP 31794-600
Phone: (229) 391-3390
Fax: (229) 391-3399

The provider's authorized official is Anthony George Giatras .
The authorized official title is Owner and has the following contact phone number (229) 391-3390.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 1/9/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyGA042576GEORGIANo
22084N0600XPsychiatry & NeurologyClinical NeurophysiologyGA042576GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G37159MEDICARE UPINGEORGIA
2GRP3849MEDICARE ID-TYPE UNSPECIFIEDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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