| NPI | 1851554083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN J MCCUISTON President 770-493-4620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 031788) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |