| NPI | 1659997963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MARIE VAUGHN Authorized Official 404-450-4684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2024-11-04 |