| NPI | 1811075252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE KANE Managed Care Enrollment Coordinator 770-495-3396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-02-20 |