OrganizationActive
Neurology and Neurodiagnostic LLC
NPI 1508393208 · Clinical Neurophysiology Physician · Statesboro, GA
Provider details
- NPI number
- 1508393208
- Entity type
- Organization
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kashyap Patel, Owner(912) 481-9945
- License
- 64438 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1497 Fair Rd
Statesboro, GA 30458-0822
Phone: (912) 486-1140
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1639
Statesboro, GA 30459
Registry dates
- Enumerated
- 2017-05-12
- Last updated
- 2017-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.