| Physicians South Neurology Llc | |
|
740 Prince Ave Bldg #9 Athens GA 30606 | |
| (706) 369-5084 | |
| (706) 369-5099 |
| Full Name | Physicians South Neurology Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 740 Prince Ave, Athens, Georgia |
| Authorized Official Name and Position | Anthony T Dacunha (PRESIDENT) |
| Authorized Official Contact | 7063695084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians South Neurology Llc 740 Prince Ave Bldg #9 Athens GA 30606 Ph: (706) 369-5084 | Physicians South Neurology Llc 740 Prince Ave Bldg #9 Athens GA 30606 Ph: (706) 369-5084 |
| NPI Number | 1013022755 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013022755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 037435 (Georgia) | Primary |
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