| NPI | 1962881573 |
|---|---|
| Doing Business As | SOUTHEAST NEUROSCIENCE CENTER |
| Entity Type | Organization |
| Authorized Contact | GABRIEL LEE NUGENT Director 985-850-6805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-11-05 |