Organization
SOUTHERN NEUROPHYSIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN DAVIS (COMPANY OWNER)
(770) 781-0800
Entity
Organization
Contact information
Practice address
6250 SHILOH RD, SUITE 110, ALPHARETTA, GA 30005-8388
(770) 781-0800
(770) 781-0828
Mailing address
6250 SHILOH RD, SUITE 110, ALPHARETTA, GA 30005-8388
(770) 781-0800
(770) 781-0828
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
12/19/2007
Last updated
01/03/2008
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