| NPI | 1912965252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALCOLM M TRAXLER President/Owner 678-392-5429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 052651) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2012-09-17 |