NPI | 1083171607 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN LEONARD LISS President 706-327-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
Enumeration Date | 2019-03-01 |
Last Update Date | 2024-07-16 |