Organization
SOUTHERN PRO READ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON WILLIAMS (OWNER)
(228) 860-8827
Entity
Organization
Contact information
Practice address
14231 SEAWAY RD STE F9, GULFPORT, MS 39503-4648
(228) 860-8827
(228) 207-2201
Mailing address
14231 SEAWAY RD, GULFPORT, MS 39503-4628
(228) 860-8827
(228) 207-2201
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/16/2015
Last updated
10/24/2022
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