| NPI | 1144674177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASYA JOY LOPEZ Administrator 404-279-0598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 207KA0200X Allergy & Immunology, Allergy | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-04-15 |