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SPINAL ELEMENTS NEURODIAGNOSTICS LLC NPI 1710332598


NPI Information

NPI: 1710332598
Provider Name: SPINAL ELEMENTS NEURODIAGNOSTICS, LLC
Classification: Specialist/Technologist, Other - 246ZE0600X
Entity Type: Organization

Specialization: Electroneurodiagnostic

Address:
11 DUNEDIN CT
MACON, GA
ZIP 31210
Phone: (214) 295-6703
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SPINAL ELEMENTS NEURODIAGNOSTICS, LLC is an electroneurodiagnostic specialist technologist other in Macon, GA. SPINAL ELEMENTS NEURODIAGNOSTICS, LLC NPI is 1710332598. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11 DUNEDIN CT
MACON, GA
ZIP 31210-393
Phone: (214) 295-6703

The provider's authorized official is Larry Moore .
The authorized official title is Manager and has the following contact phone number (214) 295-6703.

The enumeration date for this NPI number is 4/28/2016 and was last updated on 6/8/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1246ZE0600XSpecialist/Technologist, OtherElectroneurodiagnosticYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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