| NPI | 1124294640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD DANIEL CARLSON Physician 404-355-9815 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 027508) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |