| NPI | 1760975445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIEL MURIEL PASTRANA President 770-289-8185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A127358) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-07 |