| NPI | 1972792265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSETTE S POYTHRESS Pratice Administrator 404-446-1340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 041922) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2012-01-13 |