NPI | 1912953621 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE ASHE Executive Director Of Finance 770-792-5261 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2006-05-25 |
Last Update Date | 2008-07-14 |