NPI | 1689900425 |
---|---|
Entity Type | Organization |
Authorized Contact | COURTNEY ROBINSON Practice Administrator 404-257-0006 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 005690) |
Enumeration Date | 2009-10-29 |
Last Update Date | 2010-02-03 |