| NPI | 1003077876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM WOODY Practice Administrator 770-995-6684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: GA 043298) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |