| NPI | 1922268838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA ELLEN HOLZWARTH President/Owner 770-971-5325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA 037570) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2008-06-13 |