| NPI | 1255084752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM LARSEN Director Of Credentialing 770-874-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2023-11-14 |