NPI 1164614608

Community Neurological Clinic

Organisation Specialist Duluth, GA

Practice location

Address: 3400 McClure Bridge Rd Suite D401, Duluth, GA 30096-6675
Phone: (770) 622-2230
Fax: (770) 622-9741

Authorised official

Name: Philip R Kennedy
Title: Owner/Physician
Phone: (770) 622-2230

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence GA039708 (GA)

Other Specialist providers in Georgia →

Registry record

NPI: 1164614608
Entity type: Organization
NPI issued: 17 Aug 2007
Record last updated: 23 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.