Organization
GUARDION MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LEE WILLETT CNIM (MEMBER)
(478) 273-3831
Entity
Organization
Contact information
Practice address
624 PLUM ST STE A, MACON, GA 31201-2811
(478) 273-3831
(855) 940-0206
Mailing address
624 PLUM ST STE A, MACON, GA 31201-2811
(478) 273-3831
(855) 940-0206
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
01/03/2025
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