Organization
EEG DX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRYSTAL STELLY (OFFICE MANAGER)
(337) 654-7539
Entity
Organization
Contact information
Practice address
113 E SAINT PETER ST, CARENCRO, LA 70520-4008
(337) 654-7539
(866) 625-8448
Mailing address
PO BOX 187, CARENCRO, LA 70520-0187
(337) 654-7539
(866) 625-8448
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
Primary
—
—
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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