| NPI | 1184993578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIE A LUKASHOK Owner 404-805-6062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 44010) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |