Organization Name: | ATLANTA NEUROSCIENCE ASSOCIATES LLC |
NPI Number: | 1952587354 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK ALAN KOZINN (OWNER) |
Mailing Address: | 261 Medical Way Suite B Riverdale |
State: | GA US |
Postal Code: | 302742522 |
Phone Number: | 7709945176 |
Fax Number: | 7709942954 |
NPI Enumeration Date: | 01/15/2008 |
NPI Last Update Date: | 01/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 016005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |