| NPI | 1386635852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREBBA PUTNAM Administrator 770-834-3351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2008-04-04 |