| NPI | 1033291885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH LAWLESS Practice Manager 770-985-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2019-07-22 |