| NPI | 1942690094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MATTHEW SHUSTER Director Of Operations 404-994-5866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |