NPI | 1588866198 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDSON G BLACK Owner 404-303-9945 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA 017131) |
Enumeration Date | 2007-06-05 |
Last Update Date | 2020-08-22 |