| NPI | 1922831445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLYNN RANKIN Credentialing Manager 770-914-0116 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine |
| 2080S0012X Pediatrics, Sleep Medicine | |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |