| NPI | 1609113018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARA B WATKINS Owner 404-355-7375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 050280) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |