| NPI | 1972189108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L POUND Manager 478-273-3610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2021-03-18 |