| NPI | 1336123736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL E. ALEXANDER Chief Executive Officer 770-263-6616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 291U00000X Clinical Medical Laboratory (Licence: GA 038-005) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2008-03-13 |