| NPI | 1386078152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEDEE VARNER Practice Administrator 678-504-1199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |