Organization
NIMCO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH LEE MCNINCH JR. (EXECUTIVE DIRECTOR)
(404) 767-6400
Entity
Organization
Contact information
Practice address
3290 NORTHSIDE PKWY, SUITE 300, ATLANTA, GA 30327-2212
(404) 767-6400
(404) 767-6476
Mailing address
3290 NORTHSIDE PKWY, SUITE 300, ATLANTA, GA 30327-2212
(404) 767-6400
(404) 767-6476
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
09/05/2008
Last updated
09/10/2008
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