| NPI | 1043513609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSITA S. SHIVDAT-NANHOE Physician/Owner 478-225-2297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 062081) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2011-03-29 |