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 |