| NPI | 1639689136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A WILSON President 478-454-1034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 054702) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |