Organization
EVOKED IONM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT SHAH (PRESIDENT, CHIEF MEDICAL OFFICER)
(678) 524-7388
Entity
Organization
Contact information
Practice address
6458 MERIDIAN WAY, SANDY SPRINGS, GA 30328-2895
(678) 524-7388
(470) 407-6969
Mailing address
6458 MERIDIAN WAY, SANDY SPRINGS, GA 30328-2895
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
Other
Enumeration date
08/08/2018
Last updated
04/12/2023
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