Syntact, LLC

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

License

37435 Issued in GA

Legal business name

SYNTACT, LLC

Practice address

1495 Natchez Way
Grayson, GA 30017-2930

Phone

(404) 273-3968

Fax

(404) 601-9616

NPI assigned

Jan 9, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Justin McLoughlin, MS

Title

President

Phone

(404) 273-3968

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1053658146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 NATCHEZ WAY",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300172930",
            "telephone_number": "404-273-3968",
            "fax_number": "404-601-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 NATCHEZ WAY",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300172930",
            "telephone_number": "404-273-3968",
            "fax_number": "404-601-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNTACT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "MCLOUGHLIN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-273-3968",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "GA",
            "license": "37435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neurophysiology Physician in Grayson, GA
• Providers in Grayson, GA by specialty
• Clinical Neurophysiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.