Georgia Neonatology LLC

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

38531 Issued in GA

Legal business name

GEORGIA NEONATOLOGY LLC

Practice address

124 Bradford Dr
Macon, GA 31210-1267

Phone

(706) 614-1964

NPI assigned

Nov 19, 2013

Last updated

Nov 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Atul Khurana

Title

Owner

Phone

(706) 614-1964

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1962832444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 BRADFORD DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101267",
            "telephone_number": "706-614-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 BRADFORD DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101267",
            "telephone_number": "706-614-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA NEONATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "KHURANA",
        "authorized_official_first_name": "ATUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-614-1964",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "GA",
            "license": "38531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neonatal-Perinatal Medicine Physician in Macon, GA
• Providers in Macon, GA by specialty
• Neonatal-Perinatal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.