| NPI | 1942813381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAN PHAN Director 404-918-0380 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1100X Clinic/Center, Research |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2021-07-26 |