| NPI | 1164432100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON CEDRIC COTTON Owner/Physician 404-875-4261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 041098) |
| Additional Taxonomies | 2080A0000X Pediatrics Adolescent Medicine (Licence: GA 041098) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2022-07-21 |