Georgia Neurophysiological Monitoring Services, PC
in Covington, LA. Organization (NPI-2).
NPI number1265721559
StatusActive
Last updated in NPPESApr 7, 2011
Details
- NPI
- 1265721559
- Entity type
- Organization (NPI-2)
- Legal business name
- Georgia Neurophysiological Monitoring Services, PC
- Organization subpart
- Yes
- Enumeration date
- Apr 7, 2011
- Last updated
- Apr 7, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0600X | – | – | Yes |
Practice location
76 Starbrush CirCovington, LA 70433
Phone 866-845-4595 · Fax 866-845-8810
Mailing address
76 Starbrush CirCovington, LA 70433
Phone 866-845-4595 · Fax 866-845-8810
Authorized official
Michael Ian Vengrow
President
8668454595
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