| NPI | 1013376573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEI ALIG Physician Assistant 770-985-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 6682) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |