| NPI | 1023301041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARVIND PATEL Owner 706-653-1152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 037886) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 037886) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 062002) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 062002) | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2012-09-25 |