| NPI | 1003058165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIDIER GUTIERREZ President 678-237-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2009-04-03 |