| NPI | 1770710824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN EYSIE Owner 404-448-4652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2012-05-10 |