| NPI | 1134434467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH SOLINSKY Practice Administrator 770-963-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 000000000) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |