Organization
INTENSIVE NEUROMONITORING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ROBERT ANDERSON MD, PHD (OWNER - MANAGING OFFICER)
(404) 831-8168
Entity
Organization
Contact information
Practice address
2152 SPRING CREEK RD, DECATUR, GA 30033-2608
(404) 831-8168
Mailing address
2152 SPRING CREEK RD, DECATUR, GA 30033-2608
(404) 831-8168
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
69752
GA
Other
Enumeration date
10/19/2015
Last updated
06/29/2016
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