| Jwwt Neuromonitoring, Llc | |
|
1096 Lancaster Ct Watkinsville GA 30677 | |
| (210) 598-4277 | |
| Not Available |
| Full Name | Jwwt Neuromonitoring, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 1096 Lancaster Ct, Watkinsville, Georgia |
| Authorized Official Name and Position | Roxanna Laroque (DIRECTOR OF CLIENT EXPERIENCE) |
| Authorized Official Contact | 2105984277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jwwt Neuromonitoring, Llc 1141 N Loop 1604 E # 105-612 San Antonio TX 78232 Ph: (210) 598-4277 | Jwwt Neuromonitoring, Llc 1096 Lancaster Ct Watkinsville GA 30677 Ph: (210) 598-4277 |
| NPI Number | 1578101127 |
|---|---|
| Provider Enumeration Date | 12/13/2019 |
| Last Update Date | 11/07/2022 |
| Certification Date | 11/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578101127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Primary |
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