Organization
SOUTHERN NEURODIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIN MELVIN NP (NP/OWNER)
(229) 740-7663
Entity
Organization
Contact information
Practice address
5357 SHILOH RD, HAHIRA, GA 31632-2321
(229) 740-7639
(884) 638-8738
Mailing address
5357 SHILOH RD, HAHIRA, GA 31632-2321
(292) 740-7639
(888) 463-8873
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
054374
GA
Other
Enumeration date
02/21/2011
Last updated
07/27/2022
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