Organization
ELITE NEURODIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY POREE JR. CNIM (PRESIDAENT)
(404) 805-4288
Entity
Organization
Contact information
Practice address
925B PEACHTREE ST NE, 460, ATLANTA, GA 30309-3918
(404) 428-7041
Mailing address
925B PEACHTREE ST NE, 460, ATLANTA, GA 30309-3918
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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