| NPI | 1790943421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES K IRUNGU Billing Manager 678-373-7053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 037957) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |