| NPI | 1659598175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAINDEL BELIZAIRE Medical Director 770-994-0171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: GA BB8098534) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2008-06-24 |