| NPI | 1699395772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY ANN DODD Executive Director Of Physician Ser 770-219-8453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-20 |