| NPI | 1023310703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHRISTINE FURGIUELE Office Manager 770-449-3767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 030262) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |