Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BENTON STOUTAMIRE, CNIM
Active Sole ProprietorMR. BENTON STOUTAMIRE, CNIM is a Electroneurodiagnostic Technologist healthcare provider located in MACON, Georgia. NPI 1023566007 is currently active in the NPPES registry. Verify at CMS.
Electroneurodiagnostic Technologist · MACON, GA
Registration Details
- NPI Number
- 1023566007
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2016 (9.8591330132233 yrs)
- Last Updated
- Oct 28, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
420 CHARTER BLVD STE 402AMACON, GA, 312104854Browse GA providers · Browse ZIP 31210
- Phone
- 4782733831
- Fax
- 3039224640
- Primary Specialty
-
Electroneurodiagnostic Technologist
246ZE0600X
Other Electroneurodiagnostic Technologist Providers in MACON, GA
| Name | Credential | NPI |
|---|---|---|
| DANIEL LEE WILLETT | CNIM | 1457717332 |
| HOLLY LEIGH BLANFORD | CNIM | 1912666306 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.