| 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 |