| NPI | 1396033064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN MAURICE HAMNER Owner/Md 678-788-8950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 39813) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2012-12-11 |