| NPI | 1205481736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE HERNANDEZ Cco 404-851-6378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |