| NPI | 1013018811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM WRIGHT Director Of Revenue Cycle 770-914-0116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 66424) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2022-11-07 |