| NPI | 1588069900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MCLAIN COO 770-897-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 028352) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: GA 053450) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2015-06-22 |