| NPI | 1508393208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASHYAP PATEL Owner 912-481-9945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: GA 64438) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-08-24 |