| NPI | 1003957879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAGE G. WARE Office Manager 404-321-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA PSY000615) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |