| NPI | 1164773164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T. MORRIS Owner 678-305-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2013-01-25 |