| NPI | 1770769242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAINDEL BELIZAIRE Medical Director 770-994-0171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 052252) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-07-22 |