| NPI | 1033622394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA O UGA Np/Administrator 915-200-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX Q4867) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q4867) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2021-11-19 |