| NPI | 1841448602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH LEE MCNINCH Executive Director 404-767-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2008-09-10 |