NPI | 1013544899 |
---|---|
Doing Business As | SOUTHERN NEUROLOGY, PHYSICAL MEDICINE & REHABILITATION, LLC |
Entity Type | Organization |
Authorized Contact | TOMMY KEITH BUSSEY Practice Manager 229-292-2074 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
Enumeration Date | 2020-03-24 |
Last Update Date | 2020-03-24 |