| NPI | 1912330804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE DEASON Director 706-774-8326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 208M00000X Hospitalist |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2018-03-17 |