| NPI | 1174335145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANSEL MARK RAYNER Owner 470-317-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 261QA0006X Clinic/Center, Ambulatory Fertility Facility |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-01-24 |