| NPI | 1467668632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RODKEY Director Phys Practice Svcs 706-475-4921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA 048042) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2009-01-23 |