| NPI | 1548564784 |
|---|---|
| Former Legal Business Name | J |
| Entity Type | Organization |
| Authorized Contact | JOEL LEE AXLER Physician 404-808-8548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 035369) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |