| NPI | 1790954212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D BLEVINS President 706-722-8817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 058855) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2018-06-21 |