| NPI | 1558551473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL D WADE Accounts Receivable Manager 770-785-9201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 045842) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |