| NPI | 1013150101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOBY THOMAS Vice President, Managed Care 404-785-7924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |