NPI | 1053403857 |
---|---|
Entity Type | Organization |
Authorized Contact | DELPHANIE DESHAN HEAD CEO 404-524-8950 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2006-09-29 |
Last Update Date | 2007-10-26 |