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MIDDLE GEORGIA NEUROLOGY LLC NPI 1982891453


NPI Information

NPI: 1982891453
Provider Name: MIDDLE GEORGIA NEUROLOGY, LLC
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
1101 RUSSELL PKWY
WARNER ROBINS, GA
ZIP 31088
Phone: (478) 923-3535
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MIDDLE GEORGIA NEUROLOGY, LLC is a neurology with special qualifications in child neurology psychiatry neurology in Warner Robins, GA. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. MIDDLE GEORGIA NEUROLOGY, LLC NPI is 1982891453. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1101 RUSSELL PKWY
WARNER ROBINS, GA
ZIP 31088-537
Phone: (478) 923-3535
Fax: (478) 923-3573

The provider's authorized official is Abdul Qadir .
The authorized official title is Owner/physician and has the following contact phone number (478) 923-3535.

The enumeration date for this NPI number is 9/28/2007 and was last updated on 4/30/2015.


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 Neurology041352GEORGIAYes

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
1H28144MEDICARE UPINGEORGIA

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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