NPI | 1720203367 |
---|---|
Doing Business As | WAYNE GENERAL EEG |
Entity Type | Organization |
Authorized Contact | KATHY WADDELL Administrator 601-735-5151 |
Organization Subpart ? | Yes |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MS 11-288) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2015-05-18 |