Organization
SOUTHERN MONITORING INNOVATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FAY DAVIS NEAL C.C.P. (OWNER/PRESIDENT)
(228) 392-6406
Entity
Organization
Contact information
Practice address
17398 C J DELLIE RD, SAUCIER, MS 39574-8707
(228) 392-6406
(228) 396-3272
Mailing address
17398 C J DELLIE RD, SAUCIER, MS 39574-8707
(228) 392-6406
(228) 396-3272
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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