NPI | 1538495999 |
---|---|
Entity Type | Organization |
Authorized Contact | CARL TYLER SHENKMAN President/CEO 912-265-1357 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: GA 03600) |
Enumeration Date | 2009-10-20 |
Last Update Date | 2009-10-20 |