Organization
NEURAXIS MONITORING, LLC
Active
Organization
NEURAXIS MONITORING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WYATT (MANAGER)
(912) 235-6628
Entity
Organization
Contact information
Practice address
22 W BRYAN ST, PMB 226, SAVANNAH, GA 31401-2604
(912) 235-6628
Mailing address
22 W BRYAN ST, PMB 226, SAVANNAH, GA 31401-2604
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
12/21/2015
Last updated
11/15/2016
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