| NPI | 1366899189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY DEPP Payer Relations Liaison 770-579-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 66228) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |