Organization
MIDWEST NEUROPHYSIOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASHANT PATEL (MANAGING PARTNER)
(706) 951-0859
Entity
Organization
Contact information
Practice address
5123 TINSON COURT, SUMMERVILLE, SC 29485
(706) 951-0859
Mailing address
PO BOX 6766, ATHENS, GA 30604-6766
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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