| NPI | 1215980479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE D. LILES Credentialing Coordinator 678-252-3735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |