| NPI | 1689901597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR POLIZOS Owner 404-521-2445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA 022956) |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2009-11-13 |