| NPI | 1760796601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MATTHEW ORLANDO President 770-926-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 33179) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 5357) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2013-09-03 |