| NPI | 1891529749 |
|---|---|
| Doing Business As | SANDY FOOT |
| Entity Type | Organization |
| Authorized Contact | JULIETTE BENITEZ President 706-459-1235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-08-30 |