NPI 1225375652

Brain Stimullation Clinic, LLC

Organisation Health Maintenance Organization Atlanta, GA

Practice location

Address: 5445 Meridian Marks Rd NE Suite 370, Atlanta, GA 30342-4763
Phone: (404) 549-8357

Authorised official

Name: James E Fugedy
Title: Owner
Phone: (404) 549-8357

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 0325502 (GA)

Other Health Maintenance Organization providers in Georgia →

Registry record

NPI: 1225375652
Entity type: Organization
NPI issued: 4 Jan 2013
Record last updated: 4 Jan 2013

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.