| NPI | 1982857710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. DOUGLAS CRAFT Managing Member 404-767-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: GA 32943) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 32943) |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: GA 32943) | |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-10-24 |