| NPI | 1750432993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH E CONNELL Office Manager 770-534-2767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 033299 & 056299) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2020-08-22 |