| NPI | 1194879841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOT REEVES Practice Manager 404-215-6525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2010-11-11 |