| NPI | 1841472180 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SANDRA S WHITMAN Office Manager 706-722-8817 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 017630) | 
| Enumeration Date | 2007-11-28 | 
| Last Update Date | 2007-11-28 |