| NPI | 1376624940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI M CASSIN Director, Provider Enrollment 470-271-3427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 013307) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-01-23 |