| NPI | 1457722209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ROBERT ANDERSON Owner Managing Officer 404-831-8168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 69752) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2016-06-29 |