| NPI | 1821288754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL E STUBBS Partner 678-556-9460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |