Kelly Paris-Spurlock, CNIM

Individual provider Active NPI Electroneurodiagnostic Specialist/Technologist · Alapaha, GA

NPI 1265287247 · NPPES record last updated Apr 22, 2024

Key facts

NPI
1265287247
Entity type
Individual (NPI type 1)
Primary specialty
Electroneurodiagnostic Specialist/Technologist 246ZE0600X
License
2415
Practice address
26184 US Highway 129
Alapaha, GA 31622-1324
Phone
(229) 237-2789
NPI assigned
Apr 22, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X 2415 Yes

Addresses

Primary practice location

26184 US Highway 129
Alapaha, GA 31622-1324

Mailing address

26184 US Highway 129
Alapaha, GA 31622-1324
Phone (229) 237-2789

Other providers in Alapaha, GA

All providers in Alapaha, GA · Electroneurodiagnostic Specialist/Technologist in Georgia

Sources for this page

Verify at the official NPI Registry.