| NPI | 1659752459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD GUBERMAN Resident Physician 770-715-3298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY N004232) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |