Individual provider · Type 1 NPI
Benton Stoutamire, CNIM
Electroneurodiagnostic Specialist/Technologist · Macon, GA
NPI number
1023566007
Active
Practice location
420 Charter Blvd Ste 402A
Macon, GA 31210-4854
Fax (303) 922-4640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | None listed |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
2 other providers at this address
Other electroneurodiagnostic specialist/technologist providers in Macon
About NPI 1023566007
Benton Stoutamire, CNIM's National Provider Identifier is 1023566007, issued on Sep 19, 2016. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Macon, GA. The record was last updated on Oct 28, 2021.