| NPI | 1124752886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA REEDER Practice Administrator 470-589-7120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2022-07-10 |
| Last Update Date | 2023-04-24 |