NPI | 1588049977 |
---|---|
Entity Type | Organization |
Authorized Contact | DAULTON E TODD Owner/Proprietor 770-781-6373 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 029116) |
Enumeration Date | 2015-07-27 |
Last Update Date | 2015-07-27 |