| NPI | 1215132725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ANN BRUBAKER VP Owner 678-957-0156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: GA GA038561) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-08-22 |