| NPI | 1457607624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D. CHARLES WILLIAMS, PH.D. Psychologist 706-543-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY001152) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-07-25 |