| NPI | 1831445634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAY M KOTHARI Physician 229-942-9534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 26984) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |