| NPI | 1700040060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY A BELLOTTE Office Manager 770-532-9973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 06661) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |