| NPI | 1700108784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORINE MAFOUEKA NGUENA Physician 770-314-9245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 063092) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |