| NPI | 1710289632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES FREDERICK SCOTT Medical Doctor 770-431-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 02884) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2010-11-29 |