| NPI | 1881905594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD ROBERTS JACKSON President 404-784-0607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 051007) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2010-06-28 |