NPI | 1912196775 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRI L MCCLESKEY Office Manager 770-979-2062 |
Organization Subpart ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: GA 36567) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 36567) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 36567) | |
Enumeration Date | 2007-10-17 |
Last Update Date | 2012-05-18 |