| North Georgia Neurological Institute | |
|
1505 Professional Ct Dalton GA 30720-2500 | |
| (706) 275-6121 | |
| (706) 275-0521 |
| Full Name | North Georgia Neurological Institute |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1505 Professional Ct, Dalton, Georgia |
| Authorized Official Name and Position | Grace Gilgenast (PRESIDENT) |
| Authorized Official Contact | 7062756121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Georgia Neurological Institute 1505 Professional Ct Dalton GA 30720-2500 Ph: (706) 275-6121 | North Georgia Neurological Institute 1505 Professional Ct Dalton GA 30720-2500 Ph: (706) 275-6121 |
| NPI Number | 1932135183 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 09/06/2007 |
| Medicare PECOS PAC ID | 4688655673 |
|---|---|
| Medicare Enrollment ID | O20040526000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932135183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Kimberly K Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518937572 PECOS PAC ID: 8325237332 Enrollment ID: I20110106000485 |
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