| NPI | 1649413238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK PAUL MATALONE Physician 770-676-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2009-04-12 |
| Last Update Date | 2009-04-12 |