| NPI | 1568604627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNIER SANTOS President 678-237-6448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2009-04-03 |