| NPI | 1093987562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADALYN N DAVIDOFF Owner 478-929-5997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 042561) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-05-06 |