| NPI | 1467582635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA P COLLINS Credentialing Consultant 770-270-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2018-06-21 |