| NPI | 1992164495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETA RUSSLER Nurse Practitioner 404-788-4396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0200X Clinic/Center, Oncology (Licence: GA RN240539) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-03-14 |