| NPI | 1023484417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD LEWIS GRIFFIN Medical Director 770-252-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 027820) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2016-01-19 |