| NPI | 1427323120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINSTON DILL Owner 912-882-6448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY003277) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN196911) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |