| NPI | 1528941960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELINA ZHU Credentialing Coordinator 678-871-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 208VP0000X | |
| 261QP2300X Clinic/Center, Primary Care | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207ZC0006X Pathology, Clinical Pathology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2025-07-30 |
| Last Update Date | 2025-07-30 |