| NPI | 1275839797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA G JONES-NICE Owner / Rendering Provider 770-253-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA 052124) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2016-03-11 |