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NPI Code Detail

MEDICARE: NEURO PRO

MEDICARE: NEURO PRO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246ZE0600XElectroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number : 1730544404
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEURO PRO
Provider Business Mailing Address
First Line : 3284 NORTHSIDE PKWY NW STE 600
Second Line :
City : ATLANTA
State : GA
Zip : 30327-2282
Country : US
Telephone Number : 678-399-6246
Fax Number :
Provider Business Practice Location Address
First Line : 3284 NORTHSIDE PKWY NW STE 600
Second Line :
City : ATLANTA
State : GA
Zip : 30327-2282
Country : US
Telephone Number : 678-399-6246
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MERIDITH D'LOUGHY
Credential : CNIM
Telephone Number : 678-399-6246
Provider Enumeration Date : 12/23/2015
Last Update Date : 01/14/2026

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Directions to “NEURO PRO ” Practice Location

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