| NPI | 1104890417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO RAVRY Physician/Partner 404-459-9340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2009-11-09 |