| NPI | 1386912319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN OKORO Office Manager 478-746-6660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA 039194) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |