NPI | 1144543877 |
---|---|
Entity Type | Organization |
Authorized Contact | MAKI KURAOKA RHEAUME President 770-980-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 056473) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: GA 054657) |
Enumeration Date | 2010-03-09 |
Last Update Date | 2010-03-09 |