| NPI | 1396890844 |
|---|---|
| Former Legal Business Name | PEACHTREE PINE MEDICAL CARE, P.C. |
| Entity Type | Organization |
| Authorized Contact | GRACE ALEXANDRA KIMANI CEO 404-685-8485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2008-05-06 |