| NPI | 1770931586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALBOT G. MCCORMICK, III President Owner 678-441-8556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |