| NPI | 1366753758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SMITH Office Manager 770-867-7616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA 2010-1513) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |