| NPI | 1346419710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON CEDRIC COTTON Physician/Owner 770-621-0245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 041098) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: GA 041098) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2009-09-01 |