| NPI | 1659439313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHENDRA RATILAL SHAH Director 770-513-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |