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Southern Neurophysiology

Physiological Laboratory in Alpharetta, GA. Organization (NPI-2).

NPI number1114101714
StatusActive
Last updated in NPPESJan 3, 2008

Details

NPI
1114101714
Entity type
Organization (NPI-2)
Legal business name
Southern Neurophysiology
Organization subpart
No
Enumeration date
Dec 19, 2007
Last updated
Jan 3, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
293D00000X Physiological Laboratory––Yes

Practice location

6250 Shiloh Rd
Suite 110
Alpharetta, GA 30005-8388

Phone 770-781-0800 · Fax 770-781-0828

Mailing address

6250 Shiloh Rd
Suite 110
Alpharetta, GA 30005-8388

Phone 770-781-0800 · Fax 770-781-0828

Authorized official

Ann Davis
Company Owner
7707810800

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