Lava, Neil S

Lava, Neil S is an individual health care provider with primary practice located at 12 Executive Park Drive , Atlanta GA 30329-2206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Lava, Neil S can be contacted via phone (404) 778-3444.

Contact Information

Primary practice address
12 Executive Park Drive Atlanta GA 30329-2206
Phone: (404) 778-3444
Fax: (404) 712-7464
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 121255-1 New York
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 60115 Georgia

Profile Details

NPI number 1013900919
LBN Legal business name Lava, Neil S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Oct 22nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013900919 NPPES
Georgia MEDICAID 169085553H

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