NPI | 1770374126 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM LARSEN VP, Credentialing 770-874-5400 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
Enumeration Date | 2025-05-15 |
Last Update Date | 2025-05-15 |