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 |