| NPI | 1578734893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL PETWAY CEO 770-886-6718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 21271) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: GA 21271) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 21271) | |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-15 |