| NPI | 1033428610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE MOSELEY Practice Administrator 770-392-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |