| NPI | 1821284589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANLEY W KILGORE Physician 904-396-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL me17133) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2009-11-04 |