| NPI | 1770334658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL BEDDARD Nurse Practitioner 770-776-8280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2025-01-28 |