| NPI | 1184908188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY-ANN MICHELA SALANDY Owner/ Pediatrician 770-941-5107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 057184) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |