| NPI | 1174788079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DOUGLAS CLAYTON Owner 678-205-0525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 035836) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2009-12-02 |