| NPI | 1700673571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE BAJNATH Credentialing Manager 404-756-5752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207RN0300X Internal Medicine, Nephrology | |
| 207RX0202X Internal Medicine, Medical Oncology | |
| 207V00000X Obstetrics & Gynecology | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208600000X Surgery | |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2025-04-23 |