| NPI | 1851836100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE K HOGUE-KINAHAN Owner 404-414-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 19964) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 19964) |
| 207Q00000X Family Medicine (Licence: GA 035277) | |
| 207R00000X Internal Medicine (Licence: GA 19964) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: GA 19964) | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2021-05-19 |