| NPI | 1376676486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL L REYES Business Office Manager 404-466-6242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 020396) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 020396) |
| 207R00000X Internal Medicine (Licence: GA 028704) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 028704) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2009-12-23 |