| NPI | 1831277987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA JETER Manager 770-437-6910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 208M00000X Hospitalist | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-03-06 |