| NPI | 1558679332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA GENE PICCIRILLO Owner 770-934-4233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 30996) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIRO07460) |
| 207R00000X Internal Medicine (Licence: GA 038164) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |