Organization
WANDO NEUROMONITORING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DON O STOVALL MD (MEMBER)
(843) 509-1968
Entity
Organization
Contact information
Practice address
2880 TRICOM ST, N CHARLESTON, SC 29406-9171
(843) 509-1968
Mailing address
2880 TRICOM ST, N CHARLESTON, SC 29406-9171
(843) 509-1968
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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