Organization
NIMCO L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J. DOUGLAS CRAFT (MANAGING MEMBER)
(404) 767-6400
Entity
Organization
Contact information
Practice address
3290 NORTHSIDE PARKWAY NW, SUITE #300, ATLANTA, GA 30327
(404) 767-6400
(407) 767-6476
Mailing address
3290 NORTHSIDE PARKWAY NW, SUITE #300, ATLANTA, GA 30327
(404) 767-6400
(407) 767-6476
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
32943
GA
246Z00000X
Other Specialist/Technologist
Primary
32943
GA
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
32943
GA
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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