| NPI | 1023100286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM ROSSI Office Manager 404-892-6465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 21198) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 33452) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-11-16 |