| 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 |