| NPI | 1104792068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONG VIEN DANG Owner 470-633-1970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |