| NPI | 1841431459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA DAVIS Account Manager 770-443-4483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: 32943) |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: 32943) | |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |