| NPI | 1215112321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARETTE ANN COX Medical Practice Manager 678-985-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: GA 039405) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |