| NPI | 1891745212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN REYER Director, Cbo 770-219-8051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208600000X Surgery |
| 363L00000X Nurse Practitioner | |
| 208800000X Urology | |
| 208D00000X General Practice | |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 207P00000X Emergency Medicine | |
| 207LC0200X Anesthesiology, Critical Care Medicine | |
| 363A00000X Physician Assistant | |
| 207QS0010X Family Medicine, Sports Medicine | |
| 207T00000X Neurological Surgery | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2025-12-02 |