| NPI | 1487866703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK W JENNART Physician 478-922-6698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2019-04-10 |