| NPI | 1487141032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER OLADE Owner 404-441-8752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q2173) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q2173) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |