| NPI | 1902627839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITNY CATLETT Practice Administrator 678-749-5514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2025-01-27 |