| NPI | 1750329249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBI MACALUSO-PEARE Director Of Finance 770-838-8554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 208600000X Surgery | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2008-06-13 |