| NPI | 1013053115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES R COOLEY Owner 770-720-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: GA 035839) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |