| NPI | 1770097719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS VINCENT MOORE CEO 404-884-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2023-11-08 |