| Georgia Neurophysiological Monitoring Services, Pc | |
|
76 Starbrush Cir Covington LA 70433 | |
| (866) 845-4595 | |
| (866) 845-8810 |
| Full Name | Georgia Neurophysiological Monitoring Services, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 76 Starbrush Cir, Covington, Louisiana |
| Authorized Official Name and Position | Michael Ian Vengrow (PRESIDENT) |
| Authorized Official Contact | 8668454595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Neurophysiological Monitoring Services, Pc 76 Starbrush Cir Covington LA 70433 Ph: (866) 845-4595 | Georgia Neurophysiological Monitoring Services, Pc 76 Starbrush Cir Covington LA 70433 Ph: (866) 845-4595 |
| NPI Number | 1265721559 |
|---|---|
| Provider Enumeration Date | 04/07/2011 |
| Last Update Date | 04/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265721559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Primary |
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