NPI | 1699966333 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM RAMIREZ Medical Director 404-875-9919 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 033179) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA 000093) |
Enumeration Date | 2007-08-07 |
Last Update Date | 2007-08-29 |