| NPI | 1255908802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON NOAH STAMPER Physician 404-805-6232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2023-03-21 |