| NPI | 1558887018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL E STUBBS CEO 404-803-5246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2018-06-16 |