NPI | 1932477429 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTY AQUINO Director Of Provider Enrollment 470-271-3427 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 11090929) |
Enumeration Date | 2011-12-12 |
Last Update Date | 2021-08-10 |