| NPI | 1427790575 |
|---|---|
| Former Legal Business Name | DIVINE RHEUMATOLOGY LLC |
| Entity Type | Organization |
| Authorized Contact | ALOICE O. ALUOCH CEO 470-725-9658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2022-04-09 |
| Last Update Date | 2022-04-09 |