| NPI | 1053597088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KAE LISS Vice President 706-327-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 039850) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |