| NPI | 1811472756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON HILL COO 770-464-0280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2023-10-24 |