| NPI | 1902664576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE LUIS JUNCOS Managing Member 470-239-3602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-03-08 |