| NPI | 1023249760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ESSLINGER CEO/President 770-386-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 45455) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: GA 000696) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |