| NPI | 1598120271 |
|---|---|
| Doing Business As | MULTI SPECIALIST PRACTICE |
| Entity Type | Organization |
| Authorized Contact | SHARON SELENA DUNCAN Credentialing Specialist 678-656-7203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA 52394) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2016-01-05 |