NPI | 1801974175 |
---|---|
Entity Type | Organization |
Authorized Contact | LAWRENCE KAPLAN Physician In Charge/Owner 770-995-0630 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 326200) |
Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: GA 326200) |
207R00000X Internal Medicine (Licence: GA 326200) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 326200) | |
332900000X Non-Pharmacy Dispensing Site | |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2006-11-02 |
Last Update Date | 2024-06-11 |