Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Benton Stoutamire, CNIM

Individual provider Electroneurodiagnostic Specialist/Technologist · NPI 1023566007

Mr. Benton Stoutamire, CNIM is an Electroneurodiagnostic Specialist/Technologist in Macon, Georgia. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

420 Charter Blvd Ste 402A
Macon, GA 31210-4854
Phone: (478) 273-3831
Fax: (303) 922-4640
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Electroneurodiagnostic Specialist/Technologist (primary) Taxonomy 246ZE0600X

Record details

NPI number1023566007
Entity typeIndividual (Type 1)
GenderMale
Credentials CNIM
Sole proprietorYes
NPI enumeratedSeptember 19, 2016
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021

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