| 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 |