| NPI | 1366569485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND P FLOWERS Owner 770-949-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 058682) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 020701) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |