| NPI | 1689814774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA H GEORGIADES Owner 772-708-7621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-02 |