| NPI | 1841489184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBI MACALUSO-PEARE Director Of Finance 770-838-8554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 012577) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-23 |