NPI | 1639377898 |
---|---|
Former Legal Business Name | MACON PAYCHIATRY CENTER PC |
Entity Type | Organization |
Authorized Contact | ALI AHMADI President 478-474-8774 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 046824) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2014-05-09 |