NPI | 1346762838 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTOINE TRAMMELL Medical Director 770-462-2329 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 59779) |
Enumeration Date | 2017-07-17 |
Last Update Date | 2020-01-15 |