| NPI | 1013349257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON CARLL Owner 404-791-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 53937) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: GA 53937) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |