| NPI | 1306077532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY MILLER Practice Administrator 404-355-7375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-08-05 |