| NPI | 1134749211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY ANN DODD Executive Director Physician Servic 770-219-8453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-20 |