| NPI | 1720506231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ZWALD Vice President/Secretary 404-273-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 50418) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2018-08-03 |