EAST ATLANTA NEUROLOGY AND HEADACHE CLINIC
Medical Practice at Tree Ln, Lithonia, GA

License number
Georgia 032050
Category
Medical Practice
Type
Specialist
Owner
Name: ROSA D ESTRADA
Title: OFFICE MANAGER
Phone: (770) 978-3578
Address
Address
1700 Tree Ln SUITE 350, Lithonia, GA 30078
National Provider ID: 1629114095
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EAST ATLANTA NEUROLOGY AND HEADACHE CLINIC, PC

1700 Tree Ln Rd STE 350, Snellville, GA 30078

Registration:
Feb 15, 1996
State ID:
K606480
Business type:
Domestic Professional Corporation
CEO:
Saeed Shahid-Salles (CEO), 1700 Tree Ln STE 350, Snellville, GA 30078 (Physical)
Agent:
Rosa Estrada,1700 Tree Ln Rd STE 350, Snellville, GA (Physical)

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