BENTON STOUTAMIRE

MACON, GA
NPI1023566007
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date2016-09-19
Last Update Date2021-10-28
Business Address
Mr. BENTON STOUTAMIRE CNIM
420 CHARTER BLVD STE 402A
MACON, GA 31210-4854
Phone number: 478-273-3831
Mailing Address
Mr. BENTON STOUTAMIRE CNIM
420 CHARTER BLVD STE 402A
MACON, GA 31210-4854
Phone number: 478-273-3831
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