| NPI | 1861705196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM W TUNG Physician 770-953-3603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: GA 053409) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2024-12-03 |