Organization
NEURALOGIX MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES G. ECKERT (VICE PRESIDENT)
(504) 491-4987
Entity
Organization
Contact information
Practice address
2506 LAKELAND DR STE 110A, FLOWOOD, MS 39232-7640
(833) 274-6998
Mailing address
5150 HIGHWAY 22 STE C10, MANDEVILLE, LA 70471-2669
(504) 491-4987
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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