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 |