| NPI | 1922167360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN A WILLIAMSON Business Manager 770-995-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 035789) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2011-04-06 |