| NPI | 1194013961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK EDSON President 770-576-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208D00000X General Practice | |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-07-14 |