| NPI | 1447443387 |
|---|---|
| Doing Business As | NEUROLOGY PHYSICIAN GROUP AND ADVANTAGE SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARK KLEIN Executive Director 770-533-8406 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 207LC0200X Anesthesiology, Critical Care Medicine | |
| 207QS0010X Family Medicine, Sports Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2008-04-28 |