| NPI | 1396807798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE DEL MAZO Administrator 404-880-4201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 014238) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: GA 036741) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: GA 025728) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2011-11-19 |