| Cerebrofit Llc | |
|
2752 E Ponce De Leon Ave Ste G Decatur GA 30030-2714 | |
| (404) 482-3898 | |
| (404) 348-2359 |
| Full Name | Cerebrofit Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2752 E Ponce De Leon Ave Ste G, Decatur, Georgia |
| Authorized Official Name and Position | Vonetta Dotson (PRESIDENT) |
| Authorized Official Contact | 3522130100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cerebrofit Llc 3328 E Ponce De Leon Ave Unit 437 Scottsdale GA 30079 Ph: () - | Cerebrofit Llc 2752 E Ponce De Leon Ave Ste G Decatur GA 30030-2714 Ph: (404) 482-3898 |
| NPI Number | 1992558431 |
|---|---|
| Provider Enumeration Date | 04/05/2024 |
| Last Update Date | 04/11/2024 |
| Certification Date | 04/11/2024 |
| Medicare PECOS PAC ID | 8426592486 |
|---|---|
| Medicare Enrollment ID | O20240701003158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992558431 | NPI | - | NPPES |
| Provider Name | Vonetta Michelle Dotson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912203076 PECOS PAC ID: 9931384179 Enrollment ID: I20240701003310 |
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