| NPI | 1659433068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HARVEY JACOBSON Chief Officer 404-299-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 046531) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA RN127220) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2009-12-30 |