| 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 |