| NPI | 1740803113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MILLER CEO 678-967-5599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RN0300X Internal Medicine Nephrology | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2023-09-15 |