| NPI | 1659494847 |
|---|---|
| Other Name | RICHARD J. BRECKWOLDT,M.D. |
| Entity Type | Organization |
| Authorized Contact | RICHARD J BRECKWOLDT Medical Director 678-384-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 039295) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2010-09-29 |