| NPI | 1235147539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE BURROUGHS Practice Manager 404-303-0476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2012-03-20 |