| NPI | 1902157423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA F MULLIGAN President 770-979-4236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA 19973) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |