| NPI | 1972774412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER MESKI Provider 770-214-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 048802) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |