| NPI | 1538586995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PALLONE Practice Administrator 404-296-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |