| NPI | 1275738528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE Z. ALEXANDER Owner, Medical Doctor 404-857-1998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA SBL010388) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2016-11-02 |