| NPI | 1013169952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA BLACKSHEAR Office Manager 404-501-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 060014) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |