| NPI | 1851697312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA A. STINSON Medical Director 770-942-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 057193) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-14 |