| NPI | 1053132308 |
|---|---|
| Other Name | KETAMINE CENTER OF CENTRAL GEORGIA |
| Entity Type | Organization |
| Authorized Contact | JUDAH GREENBERG Doctor Owner 478-201-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-21 |