| NPI | 1437416708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTEL G RUNNELS Director Of Operations 678-750-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 58813) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2024-05-03 |