NPI | 1841515780 |
---|---|
Entity Type | Organization |
Authorized Contact | DENISE CHERYL DE VERANEZ President 770-507-1414 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 041279) |
Enumeration Date | 2010-04-04 |
Last Update Date | 2010-04-04 |