| NPI | 1649442260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFTON M BURT Provider 770-534-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY001728) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2022-08-24 |