| NPI | 1679522346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN A FULLER Secretary 770-740-0895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2024-04-25 |