| NPI | 1063452381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM TRIBBETT Med Staff Director 404-778-5294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 152W00000X Optometrist |
| 207K00000X Allergy & Immunology | |
| 207L00000X Anesthesiology | |
| 207N00000X Dermatology | |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 246Q00000X Spec/Tech, Pathology | |
| 208600000X Surgery | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2022-05-17 |