| 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 |