| NPI | 1699394825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LEE WILLETT Member 478-273-3831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2024-11-06 |