Community Neurological Clinic

LBN: Community Neurological Clinic
Community Neurological Clinic is an health care organization with primary practice located at 3400 Mcclure Bridge Rd Suite D401, Duluth GA 30096-6675. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Community Neurological Clinic can be contacted via phone (770) 622-2230, or through Kennedy, Philip R via phone (770) 622-2230.

Contact Information

Primary practice address
3400 Mcclure Bridge Rd Suite D401 Duluth GA 30096-6675
Phone: (770) 622-2230
Fax: (770) 622-9741
Website:
Map and Directions
Authorized official contact:
Name: Kennedy, Philip R Doctor of Medicine (MD)
Phone: (770) 622-2230

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X GA039708 Georgia

Profile Details

NPI number 1164614608
LBN Legal business name Community Neurological Clinic
DBA Doing business as
Authorized official Kennedy, Philip R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2007
Last updated Jan 23rd, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164614608 NPPES
Georgia MEDICAID 000772813A

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