NPI | 1982708368 |
---|---|
Doing Business As | DEVELOPMENTAL BEHAVIORAL PEDIATRICS |
Entity Type | Organization |
Authorized Contact | JACK W MILLER Physician 770-830-7039 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA 044541) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2011-02-02 |