| 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 |