| NPI | 1669414066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J DIFULCO Owner 770-938-9761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2008-10-15 |