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NPI Profile for NEUROLOGY AND NEURODIAGNOSTIC LLC in STATESBORO, GA.
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinical Neurophysiology |
2084N0600X | 86 | Physician/Neuropsychiatry |
| NPI Number | 1508393208 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/12/2017 | |
| Last updated | 08/24/2017 - About 9 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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| STATESBORO PSYCHIATRIC ASSOCIATES 116 HILL POND LN STATESBORO, GA |
| MICHAEL S LICHTMAN, MD 116 HILL POND LANE STATESBORO, GA |
| ROY T HARRY, MD 223 N ANDERSON DR SWAINSBORO, GA |
| ABIGAIL D LEONE, LPC 246 NEW COVENANT RD. ABBEVILLE, GA |
| ISAIAS M MARTINEZ JR 2546 WOOD BEND LN 30296, GA |
| CHRISTOPHER J JACKSON, MD 720 WESTVIEW DR SW, ATLANTA, GA, 30310 720 WESTVIEW DRIVE SW, GA |
| ALEXIS N WALLACE, MD AUGUSTA UNIVERSITY MEDICAL CENTER 1120 15TH ST, GA |
| MEAGAN M DANTONE, DO 49 JESSE HILL DR SE 30303, GA |
NEUROLOGY AND NEURODIAGNOSTIC LLC