| NPI | 1932409224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE BASS HUNT Office Manager 706-882-0552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2020-03-26 |