| NPI | 1093197824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISHUA M ROBERTS Billing Manager 404-933-8501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 049349) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-06-29 |