| NPI | 1427301811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE E ROSS Director/Physician 404-966-0324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 43038) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |