| NPI | 1992431753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMIAN DRAGO Administrator 470-301-8528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-07-25 |