| Doctor Name: | KERI ORSIE |
| NPI Number: | 1063886380 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNIM |
| License Number: | |
| Business Practice Address: | 1880 Beaver Ridge Cir Norcross, GA - 300713833 |
| Business Phone Number: | 8883290807 |
| Business Fax Number: | |
| Mailing Address: | 1880 Beaver Ridge Cir, NORCROSS |
| State: | GA |
| Postal Code: | 300713833 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/24/2015 |
| NPI Last Update Date: | 11/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246ZE0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | Electroneurodiagnostic |
| Taxonomy Definition: | |