| NPI | 1215182977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEOPHOLIEUS SAMUEL WORRELL President 404-207-6294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2008-11-22 |
| Last Update Date | 2008-11-22 |