| NPI | 1407176647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LAGESSE Sr VP Phys Practices 229-312-1000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 064610) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |