| NPI | 1134151681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA J SMITH Practice Manager 770-941-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |