| NPI | 1598079907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE STEIN Director 404-585-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 208800000X Urology | |
| 208D00000X General Practice | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |