NPI | 1053416925 |
---|---|
Entity Type | Organization |
Authorized Contact | MANOLO S GALLEGO President/Physician 770-528-9788 |
Organization Subpart ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 036745) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2013-07-15 |