| NPI | 1689121709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATLEE THOMAS WAMPLER CEO/Owner 770-504-5162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101254559) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |