| NPI | 1760981609 |
|---|---|
| Doing Business As | BEHAVIORAL PEDIATRICS OF RURAL GEORGIA |
| Entity Type | Organization |
| Authorized Contact | MICHELLE REYNOLDS ZEANAH Owner 912-489-4379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 56388) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2023-12-28 |