| NPI | 1093018806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARESH K THANKI President 912-490-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA BT9306514) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |