| NPI | 1285813212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE BAJNATH Credentialing Manager 404-756-5752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| 207QS0010X Family Medicine, Sports Medicine | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology | |
| 208600000X Surgery | |
| 208000000X Pediatrics | |
| 103T00000X Psychologist | |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2023-06-14 |