| NPI | 1205114998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAY DAVIS NEAL Owner/President 228-392-6406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2011-07-28 |