| NPI | 1770962508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAREE DEARHOLT Practice Manager 678-995-5068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: GA 059778) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2024-11-07 |