| NPI | 1407029515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMESH BABU KANNEGENTI Owner 706-653-2889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA 040434) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2012-01-26 |