| NPI | 1932830668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZYQUEZE HINES Physician 470-922-3658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 183500000X Pharmacist |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2023-06-10 |