| NPI | 1396042453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LESTER NOON CEO 404-226-9498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 2242) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-02-24 |