| NPI | 1215245634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA SWAYNE Manager 770-714-4643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: GA 053421) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |