NPI | 1518406784 |
---|---|
Entity Type | Organization |
Authorized Contact | DON STOVALL President 843-872-9623 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
Additional Taxonomies | 204R00000X Electrodiagnostic Medicine |
2084N0400X Psychiatry & Neurology, Neurology | |
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
Enumeration Date | 2017-02-21 |
Last Update Date | 2017-03-24 |