| NPI | 1235470329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARRUKH SHOHAB KHAN Owner 706-221-8799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: GA 69017) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |