| NPI | 1427165281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN V KELLOGG Executive Director 770-479-5535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RI0011X Internal Medicine Interventional Cardiology | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207VG0400X Obstetrics & Gynecology Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 208D00000X General Practice | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |