| 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 |