| NPI | 1083769376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAM GEORGE Practice Administrator 770-949-5535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2015-02-11 |