| NPI | 1598873754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTA T BOGNAR Owner 770-531-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 040320) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2008-02-05 |