| NPI | 1053788398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE BAJNATH Credentialing Manager 404-756-5752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208600000X Surgery | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207RN0300X Internal Medicine, Nephrology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207V00000X Obstetrics & Gynecology | |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2021-03-10 |