| NPI | 1194141085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY CANTER WEINER Sole Member 404-350-8941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 033749) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 033749) |
| Enumeration Date | 2014-03-15 |
| Last Update Date | 2014-03-15 |