| NPI | 1093093197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMI B SMITH Business Manager 912-265-7660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 059662) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2012-02-13 |