| NPI | 1366625139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA SINGLETON GASTON Medical Director 770-933-0288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2008-04-24 |