| 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 |