| NPI | 1033448865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILON GREEN Chief Executive Officer 404-942-7688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 174H00000X Health Educator |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2009-12-07 |