Provider Type Icon

SOUTHERN NEURODIAGNOSTICS LLC NPI 1568769974


NPI Information

NPI: 1568769974
Provider Name: SOUTHERN NEURODIAGNOSTICS LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5357 SHILOH RD
HAHIRA, GA
ZIP 31632
Phone: (229) 740-7639
Get Directions

SOUTHERN NEURODIAGNOSTICS LLC is a family medicine in Hahira, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOUTHERN NEURODIAGNOSTICS LLC NPI is 1568769974. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5357 SHILOH RD
HAHIRA, GA
ZIP 31632-321
Phone: (229) 740-7639
Fax: (884) 638-8738

The provider's authorized official is Darin Melvin .
The authorized official title is Np/owner and has the following contact phone number (229) 740-7663.

The enumeration date for this NPI number is 2/21/2011 and was last updated on 7/27/2022.


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
1207Q00000XFamily Medicine054374GEORGIAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.