| NPI | 1396453916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MCNEAL Manager 678-642-3532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 251S00000X Community/Behavioral Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2025-03-10 |