| NPI | 1033370762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNETT HOWARD BRUCKNER Physician/Owner 770-962-9410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 034547) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |