| NPI | 1013463058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES MALONEY Owner 678-971-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: GA 024982) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-12-30 |