| NPI | 1083649552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI EVETT Billing Coordinator 678-247-1434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 055949) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-04-19 |