| NPI | 1790389674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MARIE VAUGHN Authorized Official 404-450-4684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2024-01-02 |