| NPI | 1346480092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL WAKEFIELD CEO/President 678-508-4146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2017-10-24 |