| NPI | 1972636710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN DIGAMON-BELTRAN President CEO 770-267-9484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 065514) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 065514) |
| 207RA0000X Internal Medicine, Adolescent Medicine (Licence: GA 027031) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2012-09-18 |