| NPI | 1720384324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD D. REED Vice President 678-843-5773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-01-31 |