| NPI | 1932627171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BUCZYNER Physician Self 404-542-1412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL me116845) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |