| NPI | 1922588474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY ELIZABETH KIM Owner/Pediatrician 404-521-2445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 052763) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |