| NPI | 1407910607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY GEORGE GIATRAS Owner 229-391-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X (Licence: GA GA042576) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: GA GA042576) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2008-01-09 |