| 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 |