| NPI | 1619631355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK SHAHN HALL Managing Member 404-734-8139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2024-10-17 |