| NPI | 1811179153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA S WHITMAN Office Manager 706-722-8817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 051064) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2011-02-17 |