| NPI | 1902214448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DOUGLAS BODINE Resident Physician 678-232-5211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-09-29 |