| NPI | 1083041867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE J. HERNANDEZ VP Admin, Cco 404-851-6378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 207RS0010X Internal Medicine, Sports Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208600000X Surgery | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 111N00000X Chiropractor | |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2023-01-11 |