| NPI | 1013961846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEON HOCKER Medical Director 770-536-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 041138) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-07-21 |