| NPI | 1306629530 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RANDALL LEE HAUPT Executive Vice President, Sgi 470-292-3820 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology | 
| Enumeration Date | 2023-08-14 | 
| Last Update Date | 2024-10-29 |