| NPI | 1194919381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIANA O KIM Office Manager 678-923-5049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 043675) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2023-10-19 |