| NPI | 1649537416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MABE Office Manager 404-508-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 055713) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |