| NPI | 1760704522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FANNIE CLARK CEO 770-557-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |