MR. BENTON STOUTAMIRE CNIM NPI 1023566007

NPI Information

  • NPI: 1023566007
  • Provider Name: MR. BENTON STOUTAMIRE, CNIM
  • Classification: Specialist/Technologist, Other - 246ZE0600X
  • Specialization: Electroneurodiagnostic
  • Entity Type: Individual
  • Address: 420 CHARTER BLVD STE 402A
    MACON, GA
    ZIP 31210
  • Phone: (478) 273-3831

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NPI Details

MR. Benton Stoutamire, CNIM is an electroneurodiagnostic specialist technologist other in Macon, GA. MR. Benton Stoutamire, CNIM NPI is 1023566007. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

420 CHARTER BLVD STE 402A
MACON, GA
ZIP 31210-854
Phone: (478) 273-3831
Fax: (303) 922-4640

The enumeration date for this NPI number is 9/19/2016 and was last updated on 10/28/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 3/30/2025

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