| NPI | 1174416622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL THOMPSON Billing Manager 770-676-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202D00000X Integrative Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-07-23 |