| NPI | 1780076927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE HERNANDEZ VP Admin; Cco 404-851-6378 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2023-01-11 |