| NPI | 1912598699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK B KUKLER Managing Physician 770-883-1176 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-03-29 |