| NPI | 1093074551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CESAR AUGUSTO MAZZOTTA Director 770-817-4117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 208000000X Pediatrics | |
| 2080P0205X Pediatrics, Pediatric Endocrinology | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2012-05-03 |