| NPI | 1114795663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CULLEN Practice Administrator 770-531-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2024-08-20 |