| NPI | 1073762712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS SWORDS Billing Rep 229-269-4620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 061414) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |