Organization
ALLIED NEURODIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY NIZNIK (CEO)
(404) 295-0052
Entity
Organization
Contact information
Practice address
3691 KENNESAW S INDUSTRIAL DR NW, SUITE 103, KENNESAW, GA 30144-6513
(770) 792-9146
(770) 792-9866
Mailing address
3691 KENNESAW S INDUSTRIAL DR NW, SUITE 103, KENNESAW, GA 30144-6513
(770) 792-9146
(770) 792-9866
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/01/2010
Last updated
01/07/2014
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