NPI | 1154643096 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN J MORRIS CEO 404-881-1094 |
Organization Subpart ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 005773) |
Enumeration Date | 2010-02-19 |
Last Update Date | 2010-02-19 |