| NPI | 1649457441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY LYNN CARSON Owner 404-255-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 055395) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |