| NPI | 1679755029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORA CAULFIELD Office Manager 770-709-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 034236) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |