| NPI | 1003080607 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROSA ESTIPONA CLEMENTE N Ephrologist 770-228-5187 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 024918) | 
| Enumeration Date | 2008-04-15 | 
| Last Update Date | 2008-04-15 |