| NPI | 1396791679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ASHE Executive Director Of Finance 770-792-5261 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-07-14 |