| NPI | 1033589171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY JORDAN VP Of Payor Opperations 469-307-5810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 35763) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2016-04-25 |