Healthcare Provider Details

I. General information

NPI: 1972189108
Provider Name (Legal Business Name): END ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2021
Last Update Date: 03/18/2021
Certification Date: 03/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 NEW ST STE D
MACON GA
31201-8505
US

IV. Provider business mailing address

624 NEW ST STE D
MACON GA
31201-8505
US

V. Phone/Fax

Practice location:
  • Phone: 478-273-3610
  • Fax: 855-940-0206
Mailing address:
  • Phone: 478-273-3610
  • Fax: 855-940-0206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code204R00000X
TaxonomyElectrodiagnostic Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES L POUND III
Title or Position: MANAGER
Credential:
Phone: 478-273-3610