| NPI | 1467169581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAILA BROOKS Director Of Compliance 470-443-0782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2024-01-26 |