| NPI | 1891975470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT WILDSTEIN, MD Medical Director 404-292-5938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: GA 018771) |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2007-11-20 |