| NPI | 1871398842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MICHELE PIERSON Owner 770-685-0718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-05-07 |