NPI 1114101714
Southern Neurophysiology
Practice location
- Address
- 6250 Shiloh Rd Suite 110, Alpharetta, GA 30005-8388
- Phone
- (770) 781-0800
- Fax
- (770) 781-0828
Authorised official
- Name
- Ann Davis
- Title
- Company Owner
- Phone
- (770) 781-0800
Registered specialties
Physiological Laboratory
Primary
Registry record
- NPI
- 1114101714
- Entity type
- Organization
- NPI issued
- 19 Dec 2007
- Record last updated
- 3 Jan 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.