| NPI | 1508161316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHER ASTWANI Owner 229-446-9477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: GA 036917) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |