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 |