| NPI | 1356580641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D REESE Physician 770-944-8485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2011-01-21 |