| NPI | 1659966075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON HERNANDEZ Revenue Cycle Manager 404-998-8645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2024-07-15 |